TEST BANK for Addiction Treatment, 4e Katherine Van Wormer, Diane Rae Davis.

Chapter_01__The_Nature_of_Addiction 1. Make the case that Twelve Step approaches and harm reduction are not polar opposites or even mutually exclusive.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Finding the Strengths in Divergent Models QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.01.07 - To explore the strengths in various treatment options and what evidence-based research tells us.

NATIONAL STANDARDS: United States - CACREP 5a - Theories and models of counseling United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standards 1 and 26 DATE CREATED: 1/16/2018 12:03 AM DATE MODIFIED: 1/16/2018 12:07 AM 2. Discuss three major benefits of a harm reduction philosophy for society.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Themes in Recovery QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.01.06 - To introduce the concept of harm reduction as a flexible, public health approach that is compatible with the strengths perspective; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 3a;6a United States - NOHS Standards 1 and 31 DATE CREATED: 1/16/2018 12:08 AM DATE MODIFIED: 1/16/2018 12:09 AM 3. Discuss in depth the methodology used in Project MATCH and the treatment implications of the findings.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Finding the Strengths in Divergent Models QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.01.07 - To explore the strengths in various treatment options and what evidence-based research tells us.

NATIONAL STANDARDS: United States - CACREP 8e United States - EPAS 4b; 9c United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 1/16/2018 12:09 AM Copyright Cengage Learning. Powered by Cognero.

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4. Define interactionism and show how the addicted family member’s behavior affects the family system.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Biopsychosocial-Spiritual Model QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.01.02 - To show how alcoholism and other drug addiction affect us all; NATIONAL STANDARDS: United States - CACREP 3a - multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 6a; 8b United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 1/16/2018 12:11 AM DATE MODIFIED: 1/16/2018 12:11 AM 5. According to Shavelson (2001), which three words define harm reduction?

A. any positive change B. recovery from pain C. a controlled life D. I’m in recovery ANSWER: A POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.06 - To introduce the concept of harm reduction as a flexible, public health approach that is compatible with the strengths perspective; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standards 1 and 7 DATE CREATED: 12/26/2016 12:34 AM DATE MODIFIED: 12/27/2016 12:38 AM 6. The DSM-5 has made the following change from the previous version of the DSM: A. The term dependence will now be used instead of addiction B. Abuse and dependence are now to be dichotomized C. Specific criteria for diagnosis will no longer be provided D. The term dependence will now be used only for physiological dependence ANSWER: D POINTS: 1 REFERENCES: What is Addiction?

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QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.01 - To offer a survey of the contemporary context of addiction therapy with attention paid to social, ideological, and economic factors; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standards 1 and 7 DATE CREATED: 12/26/2016 12:36 AM DATE MODIFIED: 12/27/2016 12:38 AM 7. According to the DSM-5 what term or terms replace(s) the word dependence?

A. a personal choice B. a bad habit C. a brain disease D. addiction ANSWER: D POINTS: 1 REFERENCES: What is Addiction?

4 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.01 - To offer a survey of the contemporary context of addiction therapy with attention paid to social, ideological, and economic factors; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 12:38 AM DATE MODIFIED: 12/27/2016 12:38 AM 8. Which of the following are NOT typical symptoms defined by the DSM-5 to diagnose substance use disorder: A. tolerance B. unsuccessful attempts to control or reduce consumption C. nervous facial tics D. withdrawal problems ANSWER: C POINTS: 1 REFERENCES: Substance Use Disorder QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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LEARNING OBJECTIVES: ADTR.VANW.18.01.04 - To show how substance use disorder is diagnosed in the most widely used manual of mental disorders; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7e,k,l United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 12:40 AM DATE MODIFIED: 12/27/2016 12:38 AM 9. A behavior pattern of compulsive substance abuse is the definition of: A. contemporary perspective B. metacommunication C. incompatible with the biopsychosocial model D. the concept of addiction ANSWER: D POINTS: 1 REFERENCES: Substance Use Disorder QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.03 - To introduce definitions of key terms in the addiction field; NATIONAL STANDARDS: United States - CACREP 3d DATE CREATED: 12/26/2016 12:53 AM DATE MODIFIED: 12/27/2016 12:38 AM 10. According to the text, to understand the pain connected with addictive and compulsive behavior, one must: A. focus on harm reduction B. understand the pleasure side of the activity C. emphasize character weakness D. attend an AA meeting ANSWER: B POINTS: 1 REFERENCES: Substance Use Disorder QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.05 - To discuss addiction as a bio-psycho-social-spiritual phenomenon; NATIONAL STANDARDS: United States - CACREP 3d,e,f United States - EPAS 6a; 8b DATE CREATED: 12/26/2016 12:56 AM DATE MODIFIED: 12/27/2016 12:38 AM 11. According to the text, alcoholism is described in this book as an illness because: A. the concept recognizes alcoholism as both a medical and social problem B. the use of disease as a term is victim blaming Copyright Cengage Learning. Powered by Cognero.

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C. to avoid the notion of alcoholism as a brain disease D. to increase the popularity of the book ANSWER: A POINTS: 1 REFERENCES: Substance Use Disorder QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.05 - To discuss addiction as a bio-psycho-social-spiritual phenomenon; NATIONAL STANDARDS: United States - CACREP 3d,e,f United States - EPAS 6a; 8b DATE CREATED: 12/26/2016 12:59 AM DATE MODIFIED: 12/27/2016 12:38 AM 12. As stated in the text, addiction is an illness of the: A. body only B. mind only C. soul only D. body, mind, and soul ANSWER: D POINTS: 1 REFERENCES: Biopsychosocial-spiritual model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.02 - To show how alcoholism and other drug addiction affect us all; NATIONAL STANDARDS: United States - CACREP 2g;3e United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies DATE CREATED: 12/26/2016 1:01 AM DATE MODIFIED: 12/27/2016 12:38 AM 13. The third leading cause of death after heart disease and cancer is A. illicit drug use B. head injuries C. asthma D. alcohol misuse ANSWER: D POINTS: 1 REFERENCES: Prevalence of substance misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.03 - To introduce definitions of key terms in the addiction field; NATIONAL STANDARDS: United States - CACREP 2g;3e United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

12/26/2016 1:04 AM 12/27/2016 12:38 AM

14. According to the text, the following behaviors can become addictive except for: A. drug/alcohol use B. eating C. shopping D. studying ANSWER: D POINTS: 1 REFERENCES: Substance use disorder QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.04 - To show how substance use disorder is diagnosed in the most widely used manual of mental disorders; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7b; 8b DATE CREATED: 12/26/2016 1:06 AM DATE MODIFIED: 12/27/2016 12:38 AM 15. A concept that is stressed in the text for its explanatory value is A. interactionism B. dichotomization C. abuse versus misuse D. codependency ANSWER: A POINTS: 1 REFERENCES: Biopsychosocial-spiritual model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.02 - To show how alcoholism and other drug addiction affect us all; NATIONAL STANDARDS: United States - CACREP 3a,e,f United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS 34 DATE CREATED: 12/26/2016 1:08 AM DATE MODIFIED: 12/27/2016 12:38 AM 16. _______________ is the basic principle that cause and effect are intertwined.

A. Interactionism B. Intolerance C. Pathology D. Medical model ANSWER: A POINTS: 1 REFERENCES: Biopsychosocial-spiritual model Copyright Cengage Learning. Powered by Cognero.

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QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.02 - To show how alcoholism and other drug addiction affect us all; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 6a; 7b DATE CREATED: 12/26/2016 1:10 AM DATE MODIFIED: 12/27/2016 12:38 AM 17. Interactionism is seen most vividly, according to the text, in A. use of robots B. family system dynamics C. creating art D. prayer ANSWER: B POINTS: 1 REFERENCES: Biopsychosocial-spiritual model QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.02 - To show how alcoholism and other drug addiction affect us all; NATIONAL STANDARDS: United States - CACREP 3a,f United States - EPAS 6a; 8b; 9b DATE CREATED: 12/26/2016 1:11 AM DATE MODIFIED: 12/27/2016 12:38 AM 18. According to the text, approximately ____ of mental health clients have problems stemming from their own or their family members’ addiction problems: A. 20% B. 50% C. 80% D. 90% ANSWER: B POINTS: 1 REFERENCES: Prevalence of substance misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.03 - To introduce definitions of key terms in the addiction field; NATIONAL STANDARDS: United States - CACREP 3a,f United States - EPAS 7b,8b, 9b DATE CREATED: 12/26/2016 1:13 AM DATE MODIFIED: 12/27/2016 12:38 AM 19. Approximately ______________ of U.S. prison inmates meet the DSM criteria for substance misuse A. 100,000 B. 300,000 C. 700,000 D. 1.5 million Copyright Cengage Learning. Powered by Cognero.

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ANSWER: D POINTS: 1 REFERENCES: Prevalence of substance misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.03 - To introduce definitions of key terms in the addiction field; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 3a - Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels.

United States - NOHS Standard 14 and 15 DATE CREATED: 12/26/2016 1:15 AM DATE MODIFIED: 12/27/2016 12:38 AM 20. Which of the following treatment modalities was not highly rated in empirical research for effectiveness?

A. self-control and social skills training B. use of educational tapes, lectures, and films C. motivational enhancement strategies D. cognitive therapy ANSWER: B POINTS: 1 REFERENCES: More recent research findings QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.07 - To explore the strengths in various treatment options and what evidence-based research tells us.

NATIONAL STANDARDS: United States - CACREP 5a,j; 8b, e, f - CACREP 5a,j; 8b, e, f United States - EPAS 4a,b,c; 7d; 8a United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 1:18 AM DATE MODIFIED: 12/27/2016 12:38 AM 21. According to the NIAAA (National Institute of Alcohol Abuse and Alcoholism), about how many previously diagnosable alcoholics matured out of their dependence?

A. none B. only a fraction C. one third D. most ANSWER: C POINTS: 1 REFERENCES: More recent research findings QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.07 - To explore the strengths in various treatment options and what evidence-based research tells us.

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NATIONAL STANDARDS: United States - CACREP 3e; 5h United States - EPAS 4a,b,c; 7a,b; 8a United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 1:20 AM DATE MODIFIED: 12/27/2016 12:38 AM 22. According to Hester and Miller’s empirical research, the highest treatment effectiveness scores were obtained for A. harsh confrontational techniques B. motivational enhancement C. psychoanalytical treatment D. treatment that focused on the underlying cause of the drinking or drug use ANSWER: B POINTS: 1 REFERENCES: More recent research findings QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.07 - To explore the strengths in various treatment options and what evidence-based research tells us.

NATIONAL STANDARDS: United States - CACREP 8a,b, e,f United States - EPAS 9a,b,c,d United States - NOHS Standard 31 and 32 DATE CREATED: 12/26/2016 1:22 AM DATE MODIFIED: 12/27/2016 12:38 AM 23. The following are trends in substance abuse treatment today except for A. chain smoking regarded as an addiction B. human rights seen as a practical philosophy C. counseling of clients in moderate drinking D. public opinion favoring more imprisonment of drug users ANSWER: D POINTS: 1 REFERENCES: Calls for a paradigm shift QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.01 - To offer a survey of the contemporary context of addiction therapy with attention paid to social, ideological, and economic factors; NATIONAL STANDARDS: United States - CACREP 5a,h United States - EPAS 7c,d;8b, United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 1:25 AM Copyright Cengage Learning. Powered by Cognero.

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24. The drug court movement promotes what action with individuals whose legal problems are related to their addiction?

A. decarceration – treatment in the community B. incarceration – treatment in the prison system C. requirement to serve out the remainder of prison term, in case of relapse D. moving clients into “wet house” ANSWER: A POINTS: 1 REFERENCES: Summary and Conclusion QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.01 - To offer a survey of the contemporary context of addiction therapy with attention paid to social, ideological, and economic factors; NATIONAL STANDARDS: United States - CACREP 2h; 3f United States - EPAS 3a,b; 6a; 8d United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 1:27 AM DATE MODIFIED: 12/27/2016 12:38 AM 25. Human rights apartments for formerly homeless people in San Francisco A. are abstinence based.

B. reduce costs to the cities by $1,000 per month.

C. actually increase the hospitalization rates of residents D. have been shown to be cost-ineffective.

ANSWER: B POINTS: 1 REFERENCES: Other Promising Initiatives QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.07 - To explore the strengths in various treatment options and what evidence-based research tells us.

NATIONAL STANDARDS: United States - CACRE 8a,j - CACREP 8a,j United States - EPAS 5a,b,c; 9 b,c,d United States - NOHS Standard 31,32 DATE CREATED: 12/26/2016 1:29 AM DATE MODIFIED: 12/27/2016 12:38 AM 26. Using a holistic basis for measurement, which of the following is considered a standard measurement for successful treatment outcomes?

A. total abstinence as the only standard B. length of time of abstinence from all psychoactive substances C. improvement that might include moderate drug/alcohol use D. ability to secure stable housing Copyright Cengage Learning. Powered by Cognero.

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ANSWER: C POINTS: 1 REFERENCES: Summary and Conclusion QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.01 - To offer a survey of the contemporary context of addiction therapy with attention paid to social, ideological, and economic factors; NATIONAL STANDARDS: United States - CACREP 8d,e United States - EPAS 4b; 9a United States - NOHS Standard 32 DATE CREATED: 12/26/2016 1:32 AM DATE MODIFIED: 12/27/2016 12:38 AM 27. Restorative justice A. advocates adversarial criminal justice practices.

B. is the guiding philosophy of PEASE academy C. is an opposing philosophy to harm reduction.

D. uses a hierarchical structure for decision making ANSWER: B POINTS: 1 REFERENCES: Other Promising Initiatives QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.07 - To explore the strengths in various treatment options and what evidence-based research tells us.

NATIONAL STANDARDS: United States - CACREP 3i;5k; 6b,c,e,f,g United States - EPAS 5a,b,c United States - NOHS Standard 1,32 DATE CREATED: 12/26/2016 1:34 AM DATE MODIFIED: 12/27/2016 12:38 AM 28. Reentry programs focus primarily on A. persons released from prison B. aftercare following treatment C. persons returning to prison after relapse D. addicted people who have insurance ANSWER: A POINTS: 1 REFERENCES: Other Promising Initiatives QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.07 - To explore the strengths in various treatment options and what evidence-based research tells us.

NATIONAL STANDARDS: United States - CACREP 5k United States - EPAS 3a,b; 5a,b,c United States - NOHS Standard 1,26 DATE CREATED: 12/26/2016 1:36 AM Copyright Cengage Learning. Powered by Cognero.

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29. The DSM-5 uses the term addiction instead of dependence.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: What is Addiction?

QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.01 - To offer a survey of the contemporary context of addiction therapy with attention paid to social, ideological, and economic factors; NATIONAL STANDARDS: United States - NOHS Standard 30 United States - CACREP 3d United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies DATE CREATED: 12/26/2016 1:38 AM DATE MODIFIED: 12/27/2016 12:38 AM 30. This text examines diverse theoretical frameworks from a strengths perspective.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Finding the Strengths in Divergent Models QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.07 - To explore the strengths in various treatment options and what evidence-based research tells us.

NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 6a; 7b; 8b United States - NOHS Standard 1, 11 DATE CREATED: 12/26/2016 1:40 AM DATE MODIFIED: 12/27/2016 12:38 AM 31. The text recommends total abstinence as the best criterion by which to measure treatment success.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: Finding Strengths in Divergent Models QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.07 - To explore the strengths in various treatment options and what evidence-based research tells us.

NATIONAL STANDARDS: United States - CACREP 8d,e Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

United States - EPAS 9a,b,c United States - NOHS Standard 32 12/26/2016 1:43 AM 12/27/2016 12:38 AM

32. Harm reduction is the approach known for its pragmatism.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Harm Reduction and the Strengths Approach QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.06 - To introduce the concept of harm reduction as a flexible, public health approach that is compatible with the strengths perspective; NATIONAL STANDARDS: United States - CACREP 5a,h United States - EPAS 6a; 8b United States - NOHS Standard 1, 31 DATE CREATED: 12/26/2016 1:44 AM DATE MODIFIED: 12/27/2016 12:38 AM 33. Project MATCH is criticized by researchers for its lack of a control group.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Empirical Research QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.01.07 - To explore the strengths in various treatment options and what evidence-based research tells us.

NATIONAL STANDARDS: United States - CACREP 8e,g,j United States - EPAS 9b,c United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 1:46 AM DATE MODIFIED: 12/27/2016 12:38 AM 34. Restorative justice has its roots in both ancient tribal and modern (Mennonite) practices.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: The Unique Context of U.S. Substance Abuse Treatment QUESTION TYPE: True / False HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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LEARNING OBJECTIVES: ADTR.VANW.18.01.07 - To explore the strengths in various treatment options and what evidence-based research tells us.

NATIONAL STANDARDS: United States - CACREP 2b,3h;5k United States - EPAS 3a - Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels.

United States - NOHS Standard 16, 26 DATE CREATED: 12/26/2016 1:48 AM DATE MODIFIED: 12/27/2016 12:38 AM

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Chapter_02__Historical_Perspectives 1. How have various societies at various times tried to control the use of alcoholic beverages? What are the control policies today?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: History of Addiction Treatment QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.02.08 - To present the historic context for the modern-day war on drugs and thereby provide a background for the understanding of political factors that impinge upon the control of drugs and the treatment of drug users.

NATIONAL STANDARDS: United States - CACREP 1a - history and philosophy of the counseling profession and its specialty areas United States - EPAS 5a - Theories and models of counseling United States - NOHS Standards 11 and 12 DATE CREATED: 1/16/2018 12:19 AM DATE MODIFIED: 1/16/2018 12:21 AM 2. Describe the role that wine played in the lives of ancient Greeks, Romans and Hebrews.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Early Use and Misuse of Intoxicants QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.02.01 - To reveal how government attempts to regulate the supply of drugs and the passage of laws to control their use are rooted in themes from the past; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 1/16/2018 12:22 AM DATE MODIFIED: 1/16/2018 12:22 AM 3. Describe the connection between xenophobia and Prohibition. How did the Mafia enter the picture? Recount the reasons for the repeal of Prohibition.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Prohibition of Alcohol QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic Copyright Cengage Learning. Powered by Cognero.

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LEARNING OBJECTIVES: ADTR.VANW.18.02.04 - To analyze the role that racism and ethnocentrism have always played in the passage of legislation outlawing the usage of certain substances; NATIONAL STANDARDS: United States - CACREP 2d - The impact of heritage, attitudes, beliefs, understandings, and acculturative experiences on an individual’s views of others United States - EPAS 5b - A systems approach to conceptualizing clients United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 1/16/2018 12:23 AM DATE MODIFIED: 1/16/2018 12:24 AM 4. Discuss three major themes that emerge in a study of the history of substance use by the American population and others.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Historical Perspectives - Intro QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.02.03 - To provide an international as well as historical context to alcohol and drug use and attempts at legal regulation; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 1/16/2018 12:25 AM DATE MODIFIED: 1/16/2018 12:26 AM 5. Compare and contrast Prohibition and the war on drugs in today’s world.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Summary and Conclusion QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.02.08 - To present the historic context for the modern-day war on drugs and thereby provide a background for the understanding of political factors that impinge upon the control of drugs and the treatment of drug users.

NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 14 DATE CREATED: 1/16/2018 12:27 AM Copyright Cengage Learning. Powered by Cognero.

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DATE MODIFIED:

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6. According to the book, all of the following are themes in the history of substance abuse and addiction except: A. cultural traditions breed different reactions to the same drug B. America has had a love/hate relationship with alcohol C. Russia has done much to advance the course of addiction treatment D. increased drug potency tends to be associated with prohibition ANSWER: C POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.06 - Tracing the history of substance abuse treatment from its experimental beginnings in Minnesota to the more scientifically based approaches that are the trend today; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 6a United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 12:58 AM DATE MODIFIED: 12/26/2016 1:56 AM 7. This cultural/historical group encouraged complete abstinence from alcohol consumption: A. Greeks B. followers of Islam C. Romans D. Hebrews ANSWER: B POINTS: 1 REFERENCES: Early Use and Misuse of Intoxicants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.01 - To reveal how government attempts to regulate the supply of drugs and the passage of laws to control their use are rooted in themes from the past; NATIONAL STANDARDS: United States - CACREP 2a United States - EPAS 6a United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 1:00 AM DATE MODIFIED: 12/26/2016 1:56 AM 8. Which national or indigenous population introduced marijuana into the “New World”?

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A. the Spaniards B. the Caribbean Indians C. the Mayans D. Indians ANSWER: A POINTS: 1 REFERENCES: Early Use and Misuse of Intoxicants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.01 - To reveal how government attempts to regulate the supply of drugs and the passage of laws to control their use are rooted in themes from the past; NATIONAL STANDARDS: United States - CACREP 2a United States - EPAS 6a United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 1:03 AM DATE MODIFIED: 12/26/2016 1:56 AM 9. Cocaine use as coca leaf chewing originated with: A. Ancient Greeks B. South American indigenous peoples C. Ancient Romans D. Judaism ANSWER: B POINTS: 1 REFERENCES: Early Use and Misuse of Intoxicants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.01 - To reveal how government attempts to regulate the supply of drugs and the passage of laws to control their use are rooted in themes from the past; NATIONAL STANDARDS: United States - CACREP 2a United States - EPAS 6a United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 1:05 AM DATE MODIFIED: 12/26/2016 1:56 AM 10. The following is a legacy from the Puritans according to the text: A. religiosity by the state B. punitiveness Copyright Cengage Learning. Powered by Cognero.

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C. total abstinence D. emphasis placed on leisure ANSWER: B POINTS: 1 REFERENCES: Colonial America QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.03 - To provide an international as well as historical context to alcohol and drug use and attempts at legal regulation; NATIONAL STANDARDS: United States - CACREP 2a United States - EPAS 6a United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 1:08 AM DATE MODIFIED: 12/26/2016 1:56 AM 11. Early American colonists used alcohol for all except which of the following?

A. protection against disease B. as a solvent C. as an antiseptic D. as a deodorant ANSWER: D POINTS: 1 REFERENCES: Colonial America QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.03 - To provide an international as well as historical context to alcohol and drug use and attempts at legal regulation; NATIONAL STANDARDS: United States - CACREP 2a United States - EPAS 6a United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 1:09 AM DATE MODIFIED: 12/26/2016 1:56 AM 12. Technological advances often exceed a people’s ability to handle it. What was the turning point for alcohol?

A. wineries B. the cotton gin C. distillation D. electricity ANSWER: C POINTS: 1 REFERENCES: Prohibition of Alcohol Copyright Cengage Learning. Powered by Cognero.

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QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.04 - To analyze the role that racism and ethnocentrism have always played in the passage of legislation outlawing the usage of certain substances; NATIONAL STANDARDS: United States - CACREP 2a United States - EPAS 6a United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 1:11 AM DATE MODIFIED: 12/26/2016 1:56 AM 13. In Colonial times the tavern was criticized because of which factor with which it was associated: A. male drunkenness B. gambling by kids C. being the headquarters of the suffrage movement D. slave rebellion ANSWER: A POINTS: 1 REFERENCES: Colonial America QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.03 - To provide an international as well as historical context to alcohol and drug use and attempts at legal regulation; NATIONAL STANDARDS: United States - CACREP 2a United States - EPAS 6a United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 1:18 AM DATE MODIFIED: 12/26/2016 1:56 AM 14. In Colonial America strong drink was thought to: A. cause rickets B. induce pain C. cause seizures D. protect against disease ANSWER: D POINTS: 1 REFERENCES: Colonial America QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.03 - To provide an international as well as historical context to alcohol and drug use and attempts at legal regulation; NATIONAL STANDARDS: United States - CACREP 2a United States - EPAS 6a Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

12/26/2016 1:20 AM 12/26/2016 1:56 AM

15. The behavior most clearly associated with the temperance movement was: A. the enslavement of people B. vegetarianism C. moderation of drinking D. total abstinence from all alcoholic beverages ANSWER: C POINTS: 1 REFERENCES: Colonial America QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.03 - To provide an international as well as historical context to alcohol and drug use and attempts at legal regulation; NATIONAL STANDARDS: United States - CACREP 2a United States - EPAS 6a United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 1:23 AM DATE MODIFIED: 12/26/2016 1:56 AM 16. Historically, the Chinese have had the biggest problem with which addictive drug?

A. Opium B. Cocaine C. Marijuana D. Ecstasy ANSWER: A POINTS: 1 REFERENCES: The European Context QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.02 - To explore facts pertaining to alcohol and drug prohibition yesterday and today; NATIONAL STANDARDS: United States - CACREP 2a United States - EPAS 6a United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 1:24 AM DATE MODIFIED: 12/26/2016 1:56 AM Copyright Cengage Learning. Powered by Cognero.

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17. The lesson that we can learn from Shane Butler’s insightful analysis of treatment in Ireland is the need for: A. compatibility between societies’ belief systems and publicly instituted policy B. abstinence as a focus of treatment C. a return to Catholic principles D. reunification of north and south in Ireland ANSWER: A POINTS: 1 REFERENCES: Prohibition of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.04 - To analyze the role that racism and ethnocentrism have always played in the passage of legislation outlawing the usage of certain substances; NATIONAL STANDARDS: United States - CACREP 2b - Social and Cultural Diversity - Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy.

United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 1:26 AM DATE MODIFIED: 12/26/2016 1:56 AM 18. The American experiment with “prohibition - the noble experiment:” A. caused corruption of police and politicians.

B. was successful in reducing heavy alcohol consumption.

C. reduced the crime rate.

D. was not supported by female suffragists.

ANSWER: A POINTS: 1 REFERENCES: Prohibition of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.04 - To analyze the role that racism and ethnocentrism have always played in the passage of legislation outlawing the usage of certain substances; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 5a United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 1:30 AM DATE MODIFIED: 12/26/2016 1:56 AM Copyright Cengage Learning. Powered by Cognero.

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19. Philadelphia physician Benjamin Rush is known for recommending: A. pre-temperance ideology.

B. the 12 Step program.

C. medical treatment for chronic “inebriates.”

D. providing combat soldiers with liquor to prevent trauma.

ANSWER: C POINTS: 1 REFERENCES: History of Addiction Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.08 - To present the historic context for the modern-day war on drugs and thereby provide a background for the understanding of political factors that impinge upon the control of drugs and the treatment of drug users.

NATIONAL STANDARDS: United States - CACREP 5b United States - EPAS 8b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 1:32 AM DATE MODIFIED: 12/26/2016 1:56 AM 20. Breweries popped up in the Midwest related to the arrival of____________.

A. the Irish.

B. the depression.

C. the Germans.

D. the colonists ANSWER: C POINTS: 1 REFERENCES: Prohibition of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.04 - To analyze the role that racism and ethnocentrism have always played in the passage of legislation outlawing the usage of certain substances; NATIONAL STANDARDS: United States - CACREP 2d - The impact of heritage, attitudes, beliefs, understandings, and acculturative experiences on an individual’s views of others United States - EPAS 6a United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 1:34 AM DATE MODIFIED: 12/26/2016 1:56 AM 21. The __________ political family made their money through selling illicit alcohol directly to people at the highest levels of organized crime?

A. Johnson Copyright Cengage Learning. Powered by Cognero.

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B. Kennedy C. Lincoln D. Bush ANSWER: B POINTS: 1 REFERENCES: Prohibition of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.04 - To analyze the role that racism and ethnocentrism have always played in the passage of legislation outlawing the usage of certain substances; NATIONAL STANDARDS: United States - CACREP 2e - Social and Cultural Diversity - The effects of power and privilege for counselors and clients.

United States - EPAS 6a United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 1:36 AM DATE MODIFIED: 12/26/2016 1:56 AM 22. Which national group is singled out in the text for their healthy enjoyment of good wine?

Which national group is singled out in the text for their healthy enjoyment of good wine?Which national group is singled out in the text for their healthy enjoyment of good wine?

A. Norwegians B. Irish C. Russians D. Italians ANSWER: D POINTS: 1 REFERENCES: Prohibition of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.04 - To analyze the role that racism and ethnocentrism have always played in the passage of legislation outlawing the usage of certain substances; NATIONAL STANDARDS: United States - CACREP 2a United States - EPAS 6a United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 1:38 AM DATE MODIFIED: 12/26/2016 1:56 AM 23. Which country is considered the world’s leading producer of cocaine?

A. Mexico B. Canada C. Colombia D. Cuba Copyright Cengage Learning. Powered by Cognero.

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ANSWER: C POINTS: 1 REFERENCES: Modern War on Drugs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.06 - Tracing the history of substance abuse treatment from its experimental beginnings in Minnesota to the more scientifically based approaches that are the trend today; NATIONAL STANDARDS: United States - CACREP 2a United States - EPAS 6a United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 1:40 AM DATE MODIFIED: 12/26/2016 1:56 AM 24. About 90% of the world’s heroin comes from?

A. Colombia B. Mexico C. Sweden D. Afghanistan ANSWER: D POINTS: 1 REFERENCES: Modern War on Drugs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.06 - Tracing the history of substance abuse treatment from its experimental beginnings in Minnesota to the more scientifically based approaches that are the trend today; NATIONAL STANDARDS: United States - CACREP 2a United States - EPAS 6a United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 1:43 AM DATE MODIFIED: 12/26/2016 1:56 AM 25. The following concepts or notions were derived from Bill W. except for: A. powerlessness B. carrying the message to other persons C. seeking divine guidance D. empowerment ANSWER: D POINTS: 1 REFERENCES: History of Addiction Treatment QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.08 - To present the historic context for the modern-day war on drugs and thereby provide a background for the understanding of political factors that impinge upon the control of drugs and the treatment of drug users.

NATIONAL STANDARDS: United States - CACREP 5a - Theories and models of counseling United States - EPAS 6a United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 1:44 AM DATE MODIFIED: 12/26/2016 1:56 AM 26. Jellinek’s major contribution was A. in his work with war trauma B. to identify multiple alcoholisms C. display his knowledge of the Greek alphabet D. to introduce the harm reduction model.

ANSWER: B POINTS: 1 REFERENCES: History of Addiction Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.08 - To present the historic context for the modern-day war on drugs and thereby provide a background for the understanding of political factors that impinge upon the control of drugs and the treatment of drug users.

NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 6b - Use empathy, reflection, and interpersonal skills to effectively engage diverse clients and constituencies United States - NOHS Standard 32 DATE CREATED: 12/26/2016 1:46 AM DATE MODIFIED: 12/26/2016 1:56 AM 27. Box 2.1 describes a treatment center in Norway that: A. is based on a 12 Step approach.

B. operates within a system that lacks nationalized health care.

C. utilizes medical management such as Naltrexone in treatment D. uses a harm reduction approach ANSWER: A POINTS: 1 REFERENCES: The Anti-treatment Backlash QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.08 - To present the historic context for the modern-day war on drugs and thereby provide a background for the understanding of political factors that impinge upon the control of drugs and the treatment of drug users.

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NATIONAL STANDARDS: United States - CACREP 5a - Theories and models of counseling United States - EPAS 5b United States - NOHS Standard 10 - Human service professionals provide services without discrimination or preference in regards to age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressed groups.

DATE CREATED: 12/26/2016 1:48 AM DATE MODIFIED: 12/26/2016 1:56 AM 28. The harm reduction model was practiced in Europe in modern times chiefly in connection with: A. the spread of methamphetamines.

B. the spread of knowledge concerning U.S. practices C. fear of the spread of HIV/AIDS D. academic influences ANSWER: C POINTS: 1 REFERENCES: The Introduction of Harm Reduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.08 - To present the historic context for the modern-day war on drugs and thereby provide a background for the understanding of political factors that impinge upon the control of drugs and the treatment of drug users.

NATIONAL STANDARDS: United States - CACREP 5m United States - EPAS 5a United States - NOHS Standard 13 DATE CREATED: 12/26/2016 1:50 AM DATE MODIFIED: 12/26/2016 1:56 AM 29. The Jellinek curve depicts only the Gamma variety of alcoholism.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: History of Addiction Treatment QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.08 - To present the historic context for the modern-day war on drugs and thereby provide a background for the understanding of political factors that impinge upon the control of drugs and the treatment of drug users.

NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 6b - Use empathy, reflection, and interpersonal skills to effectively engage diverse clients and constituencies United States - NOHS Standard 32 DATE CREATED: 12/26/2016 1:52 AM DATE MODIFIED: 12/26/2016 1:56 AM 30. Alcohol is mentioned 3 times in the 12 Steps.

A. True Copyright Cengage Learning. Powered by Cognero.

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B. False ANSWER: False POINTS: 1 REFERENCES: History of Addiction Treatment QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.02.08 - To present the historic context for the modern-day war on drugs and thereby provide a background for the understanding of political factors that impinge upon the control of drugs and the treatment of drug users.

NATIONAL STANDARDS: United States - CACREP 5a - Theories and models of counseling United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 1:54 AM DATE MODIFIED: 12/26/2016 1:56 AM

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Chapter_03__The_Biology_of_Addiction 1. Discuss male/female differences in terms of the metabolization of alcohol and B.A.C. levels.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Metabolism 14 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.03.01 - To introduce the student to the major drug categories and properties of some of the most popularly used illicit drugs; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standards 11 DATE CREATED: 12/26/2016 2:07 AM DATE MODIFIED: 12/27/2016 1:05 AM 2. Discuss the phenomenon of the blackout and the legal implications.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Properties of Alcohol 119-120 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.03.04 - To introduce the basic concepts related to substance use disorders, such as tolerance, blackouts, tolerance reversal, and withdrawal; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 5a - Theories and models of counseling United States - NOHS Standards 12 DATE CREATED: 12/26/2016 2:12 AM DATE MODIFIED: 12/27/2016 1:05 AM 3. Define and differentiate among tolerance, tolerance reversal and cross tolerance.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Properties of Alcohol 117-118 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.03.04 - To introduce the basic concepts related to substance use disorders, such as tolerance, blackouts, tolerance reversal, and withdrawal; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standards 26 Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

12/26/2016 2:21 AM 12/27/2016 1:05 AM

4. Discuss Cloninger’s adoption studies and the characteristics of Type 1 and Type 2 alcoholics.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: The Brain and Addiction: The Role of Genes in Addiction 162 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.03.07 - To discuss individual differences, often genetic, related to susceptibility to alcoholism and other drug addiction.

NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 26 DATE CREATED: 12/26/2016 2:30 AM DATE MODIFIED: 12/27/2016 1:05 AM 5. Using scientific research findings, argue for a hereditary component in addiction.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: The Brain and Addiction: The Role of Genes in Addiction 162-164 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.03.07 - To discuss individual differences, often genetic, related to susceptibility to alcoholism and other drug addiction.

NATIONAL STANDARDS: United States - CACREP 8a United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 26 DATE CREATED: 12/26/2016 3:16 AM DATE MODIFIED: 12/27/2016 1:05 AM 6. Which one of these is not a depressant?

A. nicotine B. alcohol C. morphine D. OxyContin ANSWER: A POINTS: 1 REFERENCES: Properties of Alcohol - Stimulants QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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LEARNING OBJECTIVES: ADTR.VANW.18.03.01 - To introduce the student to the major drug categories and properties of some of the most popularly used illicit drugs; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 26 KEYWORDS: NOHS Standards 26 DATE CREATED: 12/26/2016 3:18 AM DATE MODIFIED: 12/27/2016 1:05 AM 7. Heroin is a semi-synthetic derivative of A. OxyContin B. opium C. cocaine D. nicotine ANSWER: B POINTS: 1 REFERENCES: Properties of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.01 - To introduce the student to the major drug categories and properties of some of the most popularly used illicit drugs; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 26 DATE CREATED: 12/26/2016 3:20 AM DATE MODIFIED: 12/27/2016 1:05 AM 8. The lachrymose drunk, according to Father Martin, is the __________ drunk.

A. laughing B. singing C. fighting D. crying ANSWER: D POINTS: 1 REFERENCES: The Properties of Alcohol and Other Drugs: Depressants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.01 - To introduce the student to the major drug categories and properties of some of the most popularly used illicit drugs; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standards 26 DATE CREATED: 12/26/2016 3:22 AM DATE MODIFIED: 12/27/2016 1:05 AM Copyright Cengage Learning. Powered by Cognero.

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9. The highest level of alcohol use is found among: A. 19 year olds B. 21 year olds C. 40 year olds D. 65 year olds ANSWER: B POINTS: 1 REFERENCES: Properties of Alcohol and Other Drugs - Depressants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.01 - To introduce the student to the major drug categories and properties of some of the most popularly used illicit drugs; NATIONAL STANDARDS: United States - CACREP 3d, 5h United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 11 DATE CREATED: 12/26/2016 3:23 AM DATE MODIFIED: 12/27/2016 1:05 AM 10. Abuse of which of these substances is the leading risk factor for death among youths?

A. nicotine B. alcohol C. cocaine D. meth ANSWER: B POINTS: 1 REFERENCES: Properties of Alcohol and Other Drugs - Depressants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.01 - To introduce the student to the major drug categories and properties of some of the most popularly used illicit drugs; NATIONAL STANDARDS: United States - CACREP 3d, 5h United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 11 DATE CREATED: 12/26/2016 3:29 AM DATE MODIFIED: 12/27/2016 1:05 AM 11. What percentage of patients treated at mental health centers have problems with alcohol and other drugs?

A. 10 percent B. 20 percent C. 60 percent D. 90 percent ANSWER: C POINTS: 1 REFERENCES: Properties of Alcohol and Other Drugs - Depressants Copyright Cengage Learning. Powered by Cognero.

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QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.01 - To introduce the student to the major drug categories and properties of some of the most popularly used illicit drugs; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 11 DATE CREATED: 12/26/2016 3:31 AM DATE MODIFIED: 12/27/2016 1:05 AM 12. Which countries of the following have the highest total per capita consumption in liters of pure alcohol?

A. China and Japan B. the United States C. Germany and Austria D. Moldova and the Czech Republic ANSWER: D POINTS: 1 REFERENCES: Consumption Levels Worldwide QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.01 - To introduce the student to the major drug categories and properties of some of the most popularly used illicit drugs; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 11 DATE CREATED: 12/26/2016 3:32 AM DATE MODIFIED: 12/27/2016 1:05 AM 13. According to research, the only drug that causes addiction in the majority of users is A. heroin B. alcohol C. nicotine D. cocaine ANSWER: C POINTS: 1 REFERENCES: Properties of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.04 - To introduce the basic concepts related to substance use disorders, such as tolerance, blackouts, tolerance reversal, and withdrawal; NATIONAL STANDARDS: United States - CACREP 8i United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 11 DATE CREATED: 12/26/2016 3:34 AM Copyright Cengage Learning. Powered by Cognero.

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14. The phenomenon associated with aging in which the drinker loses his/her ability to handle alcohol is A. tolerance B. tolerance reversal C. withdrawal D. cross-tolerance ANSWER: B POINTS: 1 REFERENCES: Properties of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.04 - To introduce the basic concepts related to substance use disorders, such as tolerance, blackouts, tolerance reversal, and withdrawal; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standards 11 DATE CREATED: 12/26/2016 3:36 AM DATE MODIFIED: 12/27/2016 1:05 AM 15. Advice to prevent a hangover is to do all the following except: A. avoid darker drinks B. drink lots of liquids such as water C. reduce the quantity of alcohol D. don’t eat and drink at the same time ANSWER: D POINTS: 1 REFERENCES: Properties of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.04 - To introduce the basic concepts related to substance use disorders, such as tolerance, blackouts, tolerance reversal, and withdrawal; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 11 DATE CREATED: 12/26/2016 3:38 AM DATE MODIFIED: 12/27/2016 1:05 AM 16. The movie The Lost Weekend and Mark Twain’s Tom Sawyer were presented in the text to illustrate the phenomenon of A. the blackout B. hangovers C. binge drinking D. anhedonia Copyright Cengage Learning. Powered by Cognero.

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ANSWER: A POINTS: 1 REFERENCES: Properties of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.04 - To introduce the basic concepts related to substance use disorders, such as tolerance, blackouts, tolerance reversal, and withdrawal; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standards 26 DATE CREATED: 12/26/2016 3:40 AM DATE MODIFIED: 12/27/2016 1:05 AM 17. When a tolerance that develops for one drug generalizes to another drug in the same pharmaceutical class, this is called cross-tolerancecross-tolerance A. tolerance B. tolerance reversal C. behavioral tolerance D. cross-tolerance ANSWER: D POINTS: 1 REFERENCES: Properties of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.04 - To introduce the basic concepts related to substance use disorders, such as tolerance, blackouts, tolerance reversal, and withdrawal; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 26 DATE CREATED: 12/26/2016 3:42 AM DATE MODIFIED: 12/27/2016 1:05 AM 18. Which of these is not an opiate?

A. heroin B. morphine C. Valium D. Demerol ANSWER: C POINTS: 1 REFERENCES: Properties of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.03 - To show how stimulants and depressants affect the body in terms of neurotransmitters such as serotonin and dopamine; Copyright Cengage Learning. Powered by Cognero.

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NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 11, 26 DATE CREATED: 12/26/2016 3:45 AM DATE MODIFIED: 12/27/2016 1:05 AM 19. ___________ is used to block withdrawal symptoms and reduce cravings and is distributed in clinics/hospitals in the US and Britain.

A. heroin B. OxyContin C. methadone D. morphine ANSWER: C POINTS: 1 REFERENCES: Properties of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.03 - To show how stimulants and depressants affect the body in terms of neurotransmitters such as serotonin and dopamine; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 13 DATE CREATED: 12/26/2016 3:47 AM DATE MODIFIED: 12/27/2016 1:05 AM 20. Results from one NIAAA study found all except _______ to be effective in treatment for alcohol dependence.

A. naltrexone B. behavioral counseling C. medication management in cases of co-occurring disorders D. OxyContin ANSWER: D POINTS: 1 REFERENCES: Properties of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.03 - To show how stimulants and depressants affect the body in terms of neurotransmitters such as serotonin and dopamine; NATIONAL STANDARDS: United States - CACREP 8i United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 18 DATE CREATED: 12/26/2016 3:51 AM DATE MODIFIED: 12/27/2016 1:05 AM 21. The inability to feel pleasure is known as A. ephedrine Copyright Cengage Learning. Powered by Cognero.

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B. anhedonia C. “chasing the dragon” D. “speedballing” ANSWER: B POINTS: 1 REFERENCES: Simulants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.03 - To show how stimulants and depressants affect the body in terms of neurotransmitters such as serotonin and dopamine; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 26 DATE CREATED: 12/26/2016 3:53 AM DATE MODIFIED: 12/27/2016 1:05 AM 22. A drug used experimentally to treat trauma victims is A. PCP B. nicotine C. Ecstasy D. marijuana ANSWER: C POINTS: 1 REFERENCES: Hallucinogens QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.01 - To introduce the student to the major drug categories and properties of some of the most popularly used illicit drugs; NATIONAL STANDARDS: United States - CACREP 8b - Identification of evidence-based counseling practices United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 11 DATE CREATED: 12/26/2016 3:54 AM DATE MODIFIED: 12/27/2016 1:05 AM 23. This drug activates the very receptors in the brain involved in the increase of appetite: A. PCP B. nicotine C. Ecstasy D. marijuana ANSWER: D POINTS: 1 REFERENCES: Properties of Alcohol – opiates or narcotics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.01 - To introduce the student to the major drug categories and Copyright Cengage Learning. Powered by Cognero.

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properties of some of the most popularly used illicit drugs; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 11 DATE CREATED: 12/26/2016 3:56 AM DATE MODIFIED: 12/27/2016 1:05 AM 24. Of the following prescribed drugs, the one least likely to be associated with getting high is A. Antabuse B. Prozac C. Methadone D. Luvox ANSWER: A POINTS: 1 REFERENCES: Metabolism QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.06 - To explain how triggers and cravings often lead to relapse; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 11 DATE CREATED: 12/26/2016 3:58 AM DATE MODIFIED: 12/27/2016 1:05 AM 25. Ondansetron has been used effectively in treating A. alcoholism.

B. hyperactivity disorder.

C. sleep apnea.

D. sleep disorders.

ANSWER: A POINTS: 1 REFERENCES: The Role of Genes in Addiction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.03 - To show how stimulants and depressants affect the body in terms of neurotransmitters such as serotonin and dopamine; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 18 DATE CREATED: 12/26/2016 3:59 AM DATE MODIFIED: 12/27/2016 1:05 AM 26. Aversion treatment derives from the ______________ school.

A. Classical conditioning/behaviorism Copyright Cengage Learning. Powered by Cognero.

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B. Carl Rogers C. cognitive D. psychodynamic ANSWER: A POINTS: 1 REFERENCES: The Brain QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.07 - To discuss individual differences, often genetic, related to susceptibility to alcoholism and other drug addiction.

NATIONAL STANDARDS: United States - CACREP 5a - Theories and models of counseling United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standards 26 DATE CREATED: 12/26/2016 4:01 AM DATE MODIFIED: 12/27/2016 1:05 AM 27. Naltrexone works by A. blocking brain activity that produces a high B. conditioning C. producing a synthetic high D. causing nausea ANSWER: A POINTS: 1 REFERENCES: Properties of Alcohol QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.04 - To introduce the basic concepts related to substance use disorders, such as tolerance, blackouts, tolerance reversal, and withdrawal; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 26 DATE CREATED: 12/26/2016 4:03 AM DATE MODIFIED: 12/27/2016 1:05 AM 28. Confabulation is associated with Korsakoff’s psychosis.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Medical Consequences of Substance Misuse – Brain Impairment QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.03.07 - To discuss individual differences, often genetic, related to susceptibility to alcoholism and other drug addiction.

Copyright Cengage Learning. Powered by Cognero.

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NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 26 DATE CREATED: 12/26/2016 4:05 AM DATE MODIFIED: 12/27/2016 1:05 AM

Copyright Cengage Learning. Powered by Cognero.

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Chapter_04__Substance_Misuse_with_a_Co_existing_Disorder_or_Disability 1. Describe a harm reduction approach with clients who are dealing with co-occurring disorders and survival needs.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - The Perils of Differential Diagnosis 459 (157) (alter therapeutic goals to = patients) QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.04.03 - To discuss current strength-based treatment innovations, and selfhelp options; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 2:13 AM DATE MODIFIED: 12/27/2016 1:15 AM 2. Name three stereotypical beliefs about persons with disabilities that pose barriers to treatment.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Substance Misuse and Developmental, Physical, and Cognitive - Assessing Treatment Barriers 489 (185) QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.04.01 - To discuss the prevalence, characteristics, areas of risk, and treatment barriers that typically exist for a person with co-occurring mental disorders or disability; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 8b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 2:16 AM DATE MODIFIED: 12/27/2016 1:15 AM 3. Discuss the connection between surviving Hurricane Katrina and the development of also the factor of resilience.

ANSWER: Answers May Vary POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

mental health problems and

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466-468 (165) Substance Misuse and Mental Disorders - Trauma from Natural Disasters QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.04.02 - To describe the most common mental disorders that co-occur with substance use and gambling disorders; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 2:18 AM DATE MODIFIED: 12/27/2016 1:15 AM 4. Describe the symptoms of schizophrenia and how this can lead to homelessness.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - Schizophrenia Spectrum and Other Psychotic Disorders 460, 470 (168) QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.04.01 - To discuss the prevalence, characteristics, areas of risk, and treatment barriers that typically exist for a person with co-occurring mental disorders or disability; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 2:20 AM DATE MODIFIED: 12/27/2016 1:15 AM 5. Contrast integrated treatment practices with sequential treatment in terms of professional staff, admission criteria, and intervention practices.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - Integrated Treatment Practices 472 (170) QUESTION TYPE: Essay HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.04.03 - To discuss current strength-based treatment innovations, and selfhelp options; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 2:22 AM DATE MODIFIED: 12/27/2016 1:15 AM 6. Persons who are dually diagnosed with substance misuse and mental disorders can expect the following (compared to persons with just substance misuse problems) A. more homelessness B. less often contracting sexually transmitted diseases C. less incarceration D. more services available ANSWER: A POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.01 - To discuss the prevalence, characteristics, areas of risk, and treatment barriers that typically exist for a person with co-occurring mental disorders or disability; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 11 and 15 DATE CREATED: 12/26/2016 2:23 AM DATE MODIFIED: 12/27/2016 1:15 AM 7. The most commonly used substance by persons with severe mental illness is A. cannabis B. cocaine C. meth D. alcohol ANSWER: D POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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LEARNING OBJECTIVES: ADTR.VANW.18.04.02 - To describe the most common mental disorders that co-occur with substance use and gambling disorders; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 11 and 15 DATE CREATED: 12/26/2016 2:25 AM DATE MODIFIED: 12/27/2016 1:15 AM 8. Which of the following does integrated treatment programs not provide: A. team approach B. focus on substance abuse problems before mental health problems C. long-term commitment D. one location for treatment of both problems ANSWER: B POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - Integrated Treatment Practices QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.04 - To explain the continued need for integrated treatment practices, the progress being made, and persistent barriers.

NATIONAL STANDARDS: United States - CACREP 5a - Theories and models of counseling United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 2:27 AM DATE MODIFIED: 12/27/2016 1:15 AM 9. A common psychiatric diagnoses (or diagnosis) for persons with an AOD disorder is: A. kleptomania B. anxiety disorders C. bipolar disorder D. Korsakoff’s syndrome ANSWER: B POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - Anxiety QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.02 - To describe the most common mental disorders that co-occur with substance use and gambling disorders; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about Copyright Cengage Learning. Powered by Cognero.

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their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

12/26/2016 2:29 AM 12/27/2016 1:15 AM

10. A clinical diagnosis of pathological gambling as defined in the DSM IV-R does not include which of the following: A. preoccupation with gambling, B. sleep difficulties C. repeated efforts to quit D. gambling from stress ANSWER: B POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - Gambling Disorder QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.02 - To describe the most common mental disorders that co-occur with substance use and gambling disorders; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 11 and 26 DATE CREATED: 12/26/2016 3:13 AM DATE MODIFIED: 12/27/2016 1:15 AM 11. Which of the following is not a mood disorder?

A. major depression B. hypomania C. PTSD D. dysthymia ANSWER: C POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - Disorders that Commonly Co-Occur with Substance Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.02 - To describe the most common mental disorders that co-occur with substance use and gambling disorders; NATIONAL STANDARDS: United States - CACREP 5a - Theories and models of counseling United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 3:16 AM Copyright Cengage Learning. Powered by Cognero.

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12. Which of the following is a true statement concerning clients with schizophrenia?

A. What looks like resistance or denial may in reality be a manifestation of negative symptoms of schizophrenia.

B. Clients with co-occurring mental disorder involving psychosis have a higher risk for self- destructive and violent behaviors.

C. Clients with a co-occurring mental disorder involving psychosis are particularly vulnerable to homelessness, housing instability, victimization, poor nutrition, and inadequate financial resources.

D. About 1% of people develop schizophrenia during their lifetime; it usually develops between the ages of 16 and 30.

ANSWER: D POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - Schizophrenia Spectrum and Other Psychotic Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.02 - To describe the most common mental disorders that co-occur with substance use and gambling disorders; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 3:20 AM DATE MODIFIED: 12/27/2016 1:15 AM 13. The phrase “no wrong door” refers to A. the need for fire exits in treatment centers.

B. integrated treatment practices.

C. the need to first decide whether the mental disorder or the substance abuse is the primary problem.

D. harm reduction practices.

ANSWER: B POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.04 - To explain the continued need for integrated treatment practices, the progress being made, and persistent barriers.

NATIONAL STANDARDS: United States - CACREP 5b United States - EPAS 8c - Needs assessments United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 3:22 AM Copyright Cengage Learning. Powered by Cognero.

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14. Research indicates that in the transition from separate to integrated treatment for co-occurring disorders that A. stable remission rates more than double.

B. the investment is too costly to be worth the trouble.

C. the 12 Step approach works best.

D. clients with different types of disorders do not get along well together.

ANSWER: A POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - Integrated Treatment Practices QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.04 - To explain the continued need for integrated treatment practices, the progress being made, and persistent barriers.

NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 18 and 31 DATE CREATED: 12/26/2016 3:25 AM DATE MODIFIED: 12/27/2016 1:15 AM 15. Collaborative case management refers to A. experts providing service to a case.

B. offering a menu of supports and services to the client C. referral after referral.

D. a group effort in which the leadership is provided by the substance abuse counselor.

ANSWER: B POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - Working on Case Management Teams QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.04 - To explain the continued need for integrated treatment practices, the progress being made, and persistent barriers.

NATIONAL STANDARDS: United States - CACREP 5k United States - EPAS 8c - Needs assessments United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 3:28 AM DATE MODIFIED: 12/27/2016 1:15 AM 16. Which one of the following characterizes Assertive Community Treatment (ACT) A. recognized as a best practice approach B. does not employ a team approach C. time-limited services for persons with COD D. inpatient treatment Copyright Cengage Learning. Powered by Cognero.

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ANSWER: A POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - Assertive Community Treatment (ACT) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.04 - To explain the continued need for integrated treatment practices, the progress being made, and persistent barriers.

NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standard 18 and 26 DATE CREATED: 12/26/2016 3:30 AM DATE MODIFIED: 12/27/2016 1:15 AM 17. Supported housing programs A. draw on harm reduction as an essential ingredient.

B. have strict standards for admission of clients with co-occurring disorders.

C. require abstinence D. require support services ANSWER: A POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - Assertive Community Treatment (ACT) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.04 - To explain the continued need for integrated treatment practices, the progress being made, and persistent barriers.

NATIONAL STANDARDS: United States - CACREP 5k United States - EPAS 8b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 3:32 AM DATE MODIFIED: 12/27/2016 1:15 AM 18. Which of the following statements about persons with disabilities is true: A. People with disabilities do not abuse substances.

B. A person with a disability will make other clients uncomfortable.

C. People with disabilities should receive exactly the same treatment protocol as everyone else.

D. People with disabilities face a number of barriers to treatment.

ANSWER: D POINTS: 1 REFERENCES: Substance Misuse and Developmental, Physical, and Cognitive - Assessing Treatment Barriers QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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LEARNING OBJECTIVES: ADTR.VANW.18.04.04 - To explain the continued need for integrated treatment practices, the progress being made, and persistent barriers.

NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 3:34 AM DATE MODIFIED: 12/27/2016 1:15 AM 19. The prevalence of serious mental disorders in the substance abusing population can be characterized as: A. not problematic B. the norm, not the exception C. dealt with effectively by most treatment programs D. fairly rare ANSWER: B POINTS: 1 REFERENCES: Substance Misuse and Developmental, Physical, and Cognitive - Assessing Treatment Barriers QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.02 - To describe the most common mental disorders that co-occur with substance use and gambling disorders; NATIONAL STANDARDS: United States - CACREP 5c United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 3:36 AM DATE MODIFIED: 12/27/2016 1:15 AM 20. With reference to traumatic brain injury A. motivational interviewing techniques have been found to be too complicated to be practical.

B. homework assignments cannot be assigned because of the brain damage.

C. motivational interviewing techniques have been successful in treatment D. a strength perspective is not as important to practice.

ANSWER: C POINTS: 1 REFERENCES: Substance Misuse and Developmental, Physical, and Cognitive - Treatment Practices QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.04 - To explain the continued need for integrated treatment practices, the progress being made, and persistent barriers.

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NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 3:38 AM DATE MODIFIED: 12/27/2016 1:15 AM 21. In the persuasion stage of Stage-Wise Treatment, the goal is to A. persuade the client to be abstinent B. persuade the client to start working on a treatment plan C. open up opportunities for the client to think about their own goals D. explain to clients why their mental health problems keep them from reaching their goals ANSWER: C POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - StageWise Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.04 - To explain the continued need for integrated treatment practices, the progress being made, and persistent barriers.

NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 3:40 AM DATE MODIFIED: 12/27/2016 1:15 AM 22. Which of the following is not a stage in Stage-Wise Treatment?

A. Engagement B. Detoxification C. Persuasion D. Active Treatment ANSWER: B POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - StageWise Treatment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.04 - To explain the continued need for integrated treatment practices, the progress being made, and persistent barriers.

NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 18 - Human service professionals describe the effectiveness Copyright Cengage Learning. Powered by Cognero.

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of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

12/26/2016 3:42 AM 12/27/2016 1:15 AM

23. Parallel or sequential treatment with persons who have COD had annul rates of remission of A. 2% B. 5% C. 10% D. 30% ANSWER: B POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.01 - To discuss the prevalence, characteristics, areas of risk, and treatment barriers that typically exist for a person with co-occurring mental disorders or disability; NATIONAL STANDARDS: United States - CACREP 5k United States - EPAS 8b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 3:46 AM DATE MODIFIED: 12/27/2016 1:15 AM 24. The quadrant model is a way of conceptualizing the variations of co-occurring disorders in order to match treatment to their different needs.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - A Conceptual Framework: The Quadrant Model 471 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.04 - To explain the continued need for integrated treatment practices, the progress being made, and persistent barriers.

NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 3:48 AM Copyright Cengage Learning. Powered by Cognero.

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25. Most anxiety symptoms related to substance misuse are gone within a few days or weeks of abstinence.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - The Perils of Differential Diagnosis 462 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.02 - To describe the most common mental disorders that co-occur with substance use and gambling disorders; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 3:50 AM DATE MODIFIED: 12/27/2016 1:15 AM 26. The suicide rate for pathological gamblers is lower than for any other addictive disorder.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: Substance Misuse and Mental Disorders - Gambling Disorder 468 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.02 - To describe the most common mental disorders that co-occur with substance use and gambling disorders; NATIONAL STANDARDS: United States - CACREP 51 United States - EPAS United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 3:51 AM DATE MODIFIED: 12/27/2016 1:15 AM 27. In spite of the prevalence of substance misuse among people with disabilities and the American with Disabilities Act of 1990, there is evidence that these persons are less likely to enter or complete treatment.

A. True B. False ANSWER: True POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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REFERENCES:

Substance Misuse and Developmental, Physical, and Cognitive - Assessing Treatment Barriers 491 (185) QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.04 - To explain the continued need for integrated treatment practices, the progress being made, and persistent barriers.

NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 3:53 AM DATE MODIFIED: 12/27/2016 1:15 AM 28. People with learning differences do best in insight oriented approaches.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: Substance Misuse and Developmental, Physical, and Cognitive - Assessing Treatment Barriers 489 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.04.04 - To explain the continued need for integrated treatment practices, the progress being made, and persistent barriers.

NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS United States - NOHS Standard 11 and 18 DATE CREATED: 12/26/2016 3:54 AM DATE MODIFIED: 12/27/2016 1:15 AM

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Chapter_05___Gambling__Eating_Disorders__Shopping__and_Other_Behavioral_Ad dictions 1. “Eating disorders start in the brain.” Discuss this claim in light of research findings.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Eating Disorders QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.05.03 - To show how biological factors are implicated in behavioral problems such as anorexia, which, in turn, has much in common with obsessive compulsive disorder; NATIONAL STANDARDS: United States - CACREP 3e; 8j United States - EPAS 4c; 7d United States - NOHS Standards 1 and 30 DATE CREATED: 12/26/2016 4:04 AM DATE MODIFIED: 12/27/2016 1:22 AM 2. With emphasis on biology, relate anorexia to OCD. ANSWER: Answers May Vary POINTS: 1 REFERENCES: Eating Disorders QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.05.03 - To show how biological factors are implicated in behavioral problems such as anorexia, which, in turn, has much in common with obsessive compulsive disorder; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standards 26 DATE CREATED: 12/26/2016 4:07 AM DATE MODIFIED: 12/27/2016 1:22 AM 3. Discuss cognitive distortions typified by gamblers and how these distortions can be offset in therapy.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Gambling Disorder - Motivation and Cognitive Therapy QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: 18.05.03 - Nil NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with Copyright Cengage Learning. Powered by Cognero.

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clients and constituencies United States - NOHS Standards 15 and 18 12/26/2016 4:09 AM 12/27/2016 1:22 AM

4. Compare and contrast motivational enhancement therapy (MET) and Albert Ellis’s rational emotive behavior therapy (REBT) in terms of the strengths perspective..

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Gambling Disorder - Motivation and Cognitive Therapy QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.05.07 - To introduce William Miller’s motivational scheme, FRAMES, for work with compulsive users of the Internet or for other persons driven to extreme behavior.

NATIONAL STANDARDS: United States - CACREP 5j; 8b United States - EPAS 4b - Apply critical thinking to engage in analysis of quantitative and qualitative research methods and research findings United States - NOHS Standards 31 and 36 DATE CREATED: 12/26/2016 4:13 AM DATE MODIFIED: 12/27/2016 1:22 AM 5. Discuss some of the creative group exercises for feeling work that are described at the end of this chapter.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Cognitive Therapy and the Strengths Perspective QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.05.01 - To show the interconnectedness of all addictions and facts concerning the uniqueness of each one—gambling, food, shopping, Internet, and sex addictions; NATIONAL STANDARDS: United States - CACREP 6a United States - EPAS 4c; 7d United States - NOHS Standards 1and 15 DATE CREATED: 12/26/2016 4:15 AM DATE MODIFIED: 12/27/2016 1:22 AM 6. Which of the following states does not have legalized gambling (as of 2016)?

A. Hawaii B. New York C. Idaho D. Mississippi ANSWER: A POINTS: 1 REFERENCES: Gambling Disorder QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.02 - To explore socioeconomic contributions to gambling addiction, such as machine technology, state government support, and the gambling industry’s influence on defining addiction; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standards 12 DATE CREATED: 12/26/2016 4:17 AM DATE MODIFIED: 12/27/2016 1:22 AM 7. Among the criteria listed by DSM-5 for gambling disorder are all except A. a preoccupation with gambling B. a need to gamble with increasing amounts of money C. gambling from distress D. being a young to middle-aged male ANSWER: D POINTS: 1 REFERENCES: Gambling Disorder QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.04 - To discuss changes that the DSM-5 has made in its naming and listing of criteria for a number of these behavioral disorders, such as binge eating disorder and hoarding; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standards 11 DATE CREATED: 12/26/2016 4:19 AM DATE MODIFIED: 12/27/2016 1:22 AM 8. The requirement to join Gamblers Anonymous is A. a willingness to pay small dues for coffee B. a desire to stop gambling C. a promise to abstain from all forms of gambling forthwith D. a pledge to speak out at meetings ANSWER: B POINTS: 1 REFERENCES: Gambling Disorder QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.05 - To impart the basics of cognitively based therapy, an essential component in the feeling work required for persons with eating/body build obsessions; NATIONAL STANDARDS: United States - CACREP 5h United States - EPAS 6a, United States - NOHS Standards 15 DATE CREATED: 12/26/2016 4:21 AM DATE MODIFIED: 12/27/2016 1:22 AM Copyright Cengage Learning. Powered by Cognero.

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9. According to a National Council study, the suicide rate is highest among which of the following addictions?

A. eating disorder B. pathological gamblers C. alcoholics D. cocaine users ANSWER: B POINTS: 1 REFERENCES: Gambling Disorder QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.01 - To show the interconnectedness of all addictions and facts concerning the uniqueness of each one—gambling, food, shopping, Internet, and sex addictions; NATIONAL STANDARDS: United States - CACREP 51 United States - EPAS 1a - Make ethical decisions by applying the standards of the NASW Code of Ethics, relevant laws and regulations, models for ethical decision-making, ethical conduct of research, and additional codes of ethics as appropriate to context United States - NOHS Standards 4 DATE CREATED: 12/26/2016 4:24 AM DATE MODIFIED: 12/27/2016 1:22 AM 10. One reported side effect of a drug used for Parkinson’s disease is A. a state of depression associated with suicide.

B. manic-like state that could lead to gambling problems.

C. the ability to quit smoking.

D. a reduced desire to drink alcohol.

ANSWER: B POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.03 - To show how biological factors are implicated in behavioral problems such as anorexia, which, in turn, has much in common with obsessive compulsive disorder; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standards 15 DATE CREATED: 12/26/2016 4:26 AM DATE MODIFIED: 12/27/2016 1:22 AM 11. Which of the following have been found to be more related to anorexia than bulimia?

A. early menstruation age B. purging C. anxiety and obsessiveness D. food-related obsessions ANSWER: C Copyright Cengage Learning. Powered by Cognero.

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POINTS: 1 REFERENCES: Eating Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.03 - To show how biological factors are implicated in behavioral problems such as anorexia, which, in turn, has much in common with obsessive compulsive disorder; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 15 DATE CREATED: 12/26/2016 4:29 AM DATE MODIFIED: 12/27/2016 1:22 AM 12. What percent of those with eating disorders misuse alcohol or other drugs?

A. 25% B. 30% C. 50% D. 90% ANSWER: C POINTS: 1 REFERENCES: Eating Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.01 - To show the interconnectedness of all addictions and facts concerning the uniqueness of each one—gambling, food, shopping, Internet, and sex addictions; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 4c; 6a United States - NOHS Standards 15 DATE CREATED: 12/26/2016 4:31 AM DATE MODIFIED: 12/27/2016 1:22 AM 13. According to the text, all of the following are risk factors for an eating disorder among girls except for: A. stress and trauma B. susceptibility to media ads and images C. substance misuse D. early dating ANSWER: D POINTS: 1 REFERENCES: Eating Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.06 - To explore gender differences in the ways that behavioral addictions find expression; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7b - Apply knowledge of human behavior and the social environment, Copyright Cengage Learning. Powered by Cognero.

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person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standards 13 and 15 12/26/2016 4:33 AM 12/27/2016 1:22 AM

14. According to the text, the rituals of anorexia are closely related to A. schizophrenia.

B. borderline traits.

C. OCD. D. alcoholism.

ANSWER: C POINTS: 1 REFERENCES: DSM Diagnoses – Anorexia Nervosa QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.03 - To show how biological factors are implicated in behavioral problems such as anorexia, which, in turn, has much in common with obsessive compulsive disorder; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 15 DATE CREATED: 12/26/2016 4:35 AM DATE MODIFIED: 12/27/2016 1:22 AM 15. The notion of “brain lock” is used by Schwartz to explain the disorder,________.

A. OCD B. bipolar disorder.

C. schizophrenia.

D. antisocial personality.

ANSWER: A POINTS: 1 REFERENCES: DSM Diagnoses – Anorexia Nervosa QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.03 - To show how biological factors are implicated in behavioral problems such as anorexia, which, in turn, has much in common with obsessive compulsive disorder; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standards 1 and 15 DATE CREATED: 12/26/2016 4:38 AM DATE MODIFIED: 12/27/2016 1:22 AM 16. Bulimics tend to share the following characteristics except for A. a likely history of childhood sexual abuse Copyright Cengage Learning. Powered by Cognero.

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B. a tendency to abuse alcohol C. the tendency to have overweight family members D. hyperactivity ANSWER: D POINTS: 1 REFERENCES: DSM Diagnoses – Bulimia Nervosa QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.04 - To discuss changes that the DSM-5 has made in its naming and listing of criteria for a number of these behavioral disorders, such as binge eating disorder and hoarding; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standards 15 DATE CREATED: 12/26/2016 4:40 AM DATE MODIFIED: 12/27/2016 1:22 AM 17. The average lifetime duration for bulimia and binge eating disorder is A. less than 16 months B. less than 3 years C. over 8 years D. a lifetime ANSWER: C POINTS: 1 REFERENCES: DSM Diagnoses – Bulimia Nervosa QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.04 - To discuss changes that the DSM-5 has made in its naming and listing of criteria for a number of these behavioral disorders, such as binge eating disorder and hoarding; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standards DATE CREATED: 12/26/2016 4:41 AM DATE MODIFIED: 12/27/2016 1:22 AM 18. The preferred treatment for eating disorders described in the book is A. a combination of pharmaceutical and cognitive interventions B. use of serotonin-enhancing antidepressants only C. aversion therapy D. psychodynamic therapy ANSWER: A POINTS: 1 REFERENCES: DMS Diagnosis – Treatment Interventions QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.05 - To impart the basics of cognitively based therapy, an essential component in the feeling work required for persons with eating/body build obsessions; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 7d - EPAS 7b United States - NOHS Standards 31 DATE CREATED: 12/26/2016 4:43 AM DATE MODIFIED: 12/27/2016 1:22 AM 19. Treatment at the University of Iowa eating disorders clinic was criticized by a former client quoted in the text for its lack of A. psychiatric care B. attention to past trauma C. affordability D. a cognitive approach ANSWER: B POINTS: 1 REFERENCES: DMS Diagnosis – Treatment Interventions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.05 - To impart the basics of cognitively based therapy, an essential component in the feeling work required for persons with eating/body build obsessions; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 7d - EPAS 7b United States - NOHS Standards 14 and 15 DATE CREATED: 12/26/2016 4:50 AM DATE MODIFIED: 12/27/2016 1:22 AM 20. The self-help group for individuals with eating problems is A. called Overeaters Anonymous (OA) B. for women only C. having difficulty getting established D. headed by a professional therapist ANSWER: A POINTS: 1 REFERENCES: DMS Diagnosis – Treatment Interventions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.05 - To impart the basics of cognitively based therapy, an essential component in the feeling work required for persons with eating/body build obsessions; NATIONAL STANDARDS: United States - CACREP 5k United States - EPAS 7d - EPAS 7b United States - NOHS Standards 29 DATE CREATED: 12/26/2016 4:53 AM DATE MODIFIED: 12/27/2016 1:22 AM Copyright Cengage Learning. Powered by Cognero.

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21. According to the text, motivational enhancement therapy A. has much in common with Samenow’s criminal personality theory B. is both cognitively based and client centered C. is client centered but not cognitively based D. is confrontational but not argumentative ANSWER: B POINTS: 1 REFERENCES: Cognitive Therapy and the Strengths Perspective QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.05 - To impart the basics of cognitively based therapy, an essential component in the feeling work required for persons with eating/body build obsessions; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 6b - Use empathy, reflection, and interpersonal skills to effectively engage diverse clients and constituencies United States - NOHS Standards 26 DATE CREATED: 12/26/2016 4:55 AM DATE MODIFIED: 12/27/2016 1:22 AM 22. According to Miller and Rollnick, a formal assessment or pretreatment testing A. should be avoided as part of motivational work B. provides an opportunity for the counselor to play the role of expert C. should be presented as an incentive toward motivation D. are for screening purposes only ANSWER: C POINTS: 1 REFERENCES: Gambling Disorders – Motivational and Cognitive Therapy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.07 - To introduce William Miller’s motivational scheme, FRAMES, for work with compulsive users of the Internet or for other persons driven to extreme behavior.

NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standards 1 DATE CREATED: 12/26/2016 4:56 AM DATE MODIFIED: 12/27/2016 1:22 AM 23. Which of the following helps to reduce angry outbursts?

A. letting out a primal scream B. beat on punching bag C. petting the dog D. cursing ANSWER: C POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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REFERENCES: Cognitive Therapy and the Strengths Perspective – Anger Management QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.05 - To impart the basics of cognitively based therapy, an essential component in the feeling work required for persons with eating/body build obsessions; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 18 DATE CREATED: 12/26/2016 4:58 AM DATE MODIFIED: 12/27/2016 1:22 AM 24. The suicide rate for pathological gamblers is higher than that of any other addictive disorder.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Gambling Disorder - Co-Occurrence of Other Problems QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.01 - To show the interconnectedness of all addictions and facts concerning the uniqueness of each one—gambling, food, shopping, Internet, and sex addictions; NATIONAL STANDARDS: United States - CACREP 51 United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 13 DATE CREATED: 12/26/2016 5:00 AM DATE MODIFIED: 12/27/2016 1:22 AM 25. Internet gambling is the fastest-growing segment of the gambling market.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Gambling Disorder – Internet Gambling QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.02 - To explore socioeconomic contributions to gambling addiction, such as machine technology, state government support, and the gambling industry’s influence on defining addiction; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standards 13 DATE CREATED: 12/26/2016 5:02 AM DATE MODIFIED: 12/27/2016 1:22 AM Copyright Cengage Learning. Powered by Cognero.

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26. There is no correlation between the availability of gambling and the rate of gambling addiction.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: Gambling Disorder – Motivation and Cognitive Therapy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.02 - To explore socioeconomic contributions to gambling addiction, such as machine technology, state government support, and the gambling industry’s influence on defining addiction; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standards 13 DATE CREATED: 12/26/2016 5:03 AM DATE MODIFIED: 12/27/2016 1:22 AM 27. Hoarding is increasingly seen as a separate disorder from compulsive spending.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Hoarding Disorder QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.03 - To show how biological factors are implicated in behavioral problems such as anorexia, which, in turn, has much in common with obsessive compulsive disorder; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standards 15 DATE CREATED: 12/26/2016 5:04 AM DATE MODIFIED: 12/27/2016 1:22 AM 28. Eating disorder; trauma disorder; childhood sexual abuse, rape, and domestic violence are highly correlated to eating disorders.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: DSM Diagnoses – Treatment Interventions QUESTION TYPE: True / False HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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LEARNING OBJECTIVES: ADTR.VANW.18.05.03 - To show how biological factors are implicated in behavioral problems such as anorexia, which, in turn, has much in common with obsessive compulsive disorder; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standards 13 and 15 DATE CREATED: 12/26/2016 5:06 AM DATE MODIFIED: 12/27/2016 1:22 AM 29. According to the text concerning shopping addiction, the key factor is materialism.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: Shopping or Spending Addiction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.02 - To explore socioeconomic contributions to gambling addiction, such as machine technology, state government support, and the gambling industry’s influence on defining addiction; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standards 15 DATE CREATED: 12/26/2016 5:07 AM DATE MODIFIED: 12/27/2016 1:22 AM 30. Sex addiction will be recognized in DSM-5 as hypersexual disorder.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Sex Addiction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.04 - To discuss changes that the DSM-5 has made in its naming and listing of criteria for a number of these behavioral disorders, such as binge eating disorder and hoarding; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standards 11 and 15 DATE CREATED: 12/26/2016 5:09 AM DATE MODIFIED: 12/27/2016 1:22 AM 31. According to the text, beating on a punching bag decreases aggression and anger.

Copyright Cengage Learning. Powered by Cognero.

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A. True B. False ANSWER: False POINTS: 1 REFERENCES: Cognitive Therapy and the Strengths Perspective – Stress Management QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.05.07 - To introduce William Miller’s motivational scheme, FRAMES, for work with compulsive users of the Internet or for other persons driven to extreme behavior.

NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standards 18 DATE CREATED: 12/26/2016 5:11 AM DATE MODIFIED: 12/27/2016 1:22 AM

Copyright Cengage Learning. Powered by Cognero.

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Chapter_06__Addiction_Across_the_Life_Span 1. Discuss the stages of psychosocial development in terms of the needs and crises of each stage.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: The Stages of Growth and Development 322 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.06.01 - To present the theories that relate to development across the life span and to relate these theories to alcohol and other drug use; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS 13 DATE CREATED: 12/26/2016 4:17 AM DATE MODIFIED: 12/27/2016 1:37 AM 2. What is the extent of alcohol and other drug use among today’s youth? How does early use of chemicals relate to later use?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Teenage Drinking and Using – The extent of Substance Use in the United States 325-328 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.06.01 - To present the theories that relate to development across the life span and to relate these theories to alcohol and other drug use; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS 13 DATE CREATED: 12/26/2016 4:20 AM DATE MODIFIED: 12/27/2016 1:37 AM 3. a. What are some of the cultural characteristics of youths who misuse alcohol? b. How does alcohol and tobacco marketing enter the picture?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: 327 327 The Extent of Substance Use in the United States QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic Copyright Cengage Learning. Powered by Cognero.

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LEARNING OBJECTIVES: ADTR.VANW.18.06.01 - To present the theories that relate to development across the life span and to relate these theories to alcohol and other drug use; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS 11 DATE CREATED: 12/26/2016 4:21 AM DATE MODIFIED: 12/27/2016 1:37 AM 4. Explore the link between early childhood sexual abuse and later development of substance misuse patterns. How does one account for this correlation?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Psychological Risk Factors 330 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.06.04 - To show how special risks for boys differ from the special risks for girls and to argue for the importance of gender-specific programming for girls; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS 26 DATE CREATED: 12/26/2016 4:23 AM DATE MODIFIED: 12/27/2016 1:37 AM 5. Account for the link between ADHD and chemical misuse.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Psychiatric Disorders 333-3334 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.06.03 - To provide information on biological, psychological, and social factors involved in substance misuse; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS 18 DATE CREATED: 12/26/2016 4:25 AM DATE MODIFIED: 12/27/2016 1:37 AM 6. How does weight obsession affect each gender?

ANSWER: Answers May Vary POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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REFERENCES:

Special Risks for Girls; Special Risks for Boys 335, 336 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.06.04 - To show how special risks for boys differ from the special risks for girls and to argue for the importance of gender-specific programming for girls; NATIONAL STANDARDS: United States - CACREP 2d, 3f United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS 26 DATE CREATED: 12/26/2016 4:26 AM DATE MODIFIED: 12/27/2016 1:37 AM 7. Relate binge drinking in the U. S. with alcohol control policies. How would harm reduction policies differ?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Binge Drinking in Young Adults 340 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.06.04 - To show how special risks for boys differ from the special risks for girls and to argue for the importance of gender-specific programming for girls; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 9c - Critically analyze, monitor, and evaluate intervention and program processes and outcomes United States - NOHS 18 DATE CREATED: 12/26/2016 4:29 AM DATE MODIFIED: 12/27/2016 1:37 AM 8. Discuss the physiology of drinking late in life.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Addiction Problems Among Older Adults – Biological Considerations 357-358 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.06.03 - To provide information on biological, psychological, and social factors involved in substance misuse; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS 13 DATE CREATED: 12/26/2016 4:31 AM Copyright Cengage Learning. Powered by Cognero.

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DATE MODIFIED:

12/27/2016 1:37 AM

9. What are some common pitfalls as outlined by Beechem for the counselor with an elderly clientele?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Addiction Problems Among Older Adults – Treatment Interventions 358 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.06.01 - To present the theories that relate to development across the life span and to relate these theories to alcohol and other drug use; NATIONAL STANDARDS: United States - CACREP 1k - Professional Counseling Orientation and Ethical Practice Strategies for personal and professional self-evaluation and implications for practice.

United States - EPAS 1b, 1e United States - NOHS 26 DATE CREATED: 12/26/2016 4:33 AM DATE MODIFIED: 12/27/2016 1:37 AM 10. Describe the three types of guilt feelings experienced by grief-stricken family members who have a dying spouse/partner or relative.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Loss and Grief 372 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.06.02 - To show how substance misuse is often connected to trauma, loss and grief, and a spiritual void; NATIONAL STANDARDS: United States - CACREP 3g United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS 13 DATE CREATED: 12/26/2016 4:34 AM DATE MODIFIED: 12/27/2016 1:37 AM 11. The prefrontal cortex of the brain reaches full maturity soon after age A. 10 B. teens C. mid-20s D. 30 ANSWER: C POINTS: 1 REFERENCES: The Stages of Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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LEARNING OBJECTIVES: ADTR.VANW.18.06.01 - To present the theories that relate to development across the life span and to relate these theories to alcohol and other drug use; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS 13 DATE CREATED: 12/26/2016 4:36 AM DATE MODIFIED: 12/27/2016 1:37 AM 12. According to Carol Gilligan, Erikson’s conceptualization for young life was: A. sensitive to gender issues B. too focused on violence C. lacking in concern for female developmental issues D. lacking in detail ANSWER: C POINTS: 1 REFERENCES: Teenage Drinking and Using - Identify versus Role Confusion QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.02 - To show how substance misuse is often connected to trauma, loss and grief, and a spiritual void; NATIONAL STANDARDS: United States - CACREP 3a - multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS 10 DATE CREATED: 12/26/2016 4:38 AM DATE MODIFIED: 12/27/2016 1:37 AM 13. Erik Erikson’s stage of development pertaining to adolescence was A. identity vs. role confusion B. trust vs. mistrust C. ego integrity vs. despair D. identity vs. responsibility ANSWER: A POINTS: 1 REFERENCES: Teenage Drinking and Using - Identify versus Role Confusion QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.02 - To show how substance misuse is often connected to trauma, loss and grief, and a spiritual void; NATIONAL STANDARDS: United States - CACREP 3a - multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS 10 Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

12/26/2016 4:39 AM 12/27/2016 1:37 AM

14. According to a study conducted by the European Public Health Alliance (2005), which of the following European countries was the only one with more persons in the 15 -34 year age group using more illicit drugs than the U.S.?

A. Ukraine B. United Kingdom C. Czech Republic D. Denmark ANSWER: C POINTS: 1 REFERENCES: Extent of Drug Use: Europe and the United States QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.02 - To show how substance misuse is often connected to trauma, loss and grief, and a spiritual void; NATIONAL STANDARDS: United States - CACREP 7a United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS 13 DATE CREATED: 12/26/2016 4:41 AM DATE MODIFIED: 12/27/2016 1:37 AM 15. According to data from the National Survey on Drug Use and Health (2006), in the 18 to 25 age group, which of the following substances had the highest usage?

A. ecstasy B. cocaine C. alcohol D. marijuana ANSWER: D POINTS: 1 REFERENCES: The Extent of Substance Use in the United States QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.03 - To provide information on biological, psychological, and social factors involved in substance misuse; NATIONAL STANDARDS: United States - CACREP 7a United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS 13 DATE CREATED: 12/26/2016 4:44 AM DATE MODIFIED: 12/27/2016 1:37 AM 16. Drinking to get drunk is the most common among teens who live in A. the Northeast B. the Midwest and West C. the Southeast Copyright Cengage Learning. Powered by Cognero.

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D. the Southwest ANSWER: POINTS: REFERENCES:

B 1 Binge Drinking in Young Adults 326 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.03 - To provide information on biological, psychological, and social factors involved in substance misuse; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS 11 DATE CREATED: 12/26/2016 4:46 AM DATE MODIFIED: 12/27/2016 1:37 AM 17. An exception to the trend in reduced teen drug use is in regard to A. use of prescription drugs not prescribed for them B. heroin use C. use of Ecstasy D. cocaine use ANSWER: A POINTS: 1 REFERENCES: The Extent of Substance Use in the United States QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.03 - To provide information on biological, psychological, and social factors involved in substance misuse; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS 11 DATE CREATED: 12/26/2016 4:53 AM DATE MODIFIED: 12/27/2016 1:37 AM 18. A recent change in emergency room admissions concerns overdoses related to ____ overdoses.

A. alcohol B. meth C. prescription drug misuse D. marijuana ANSWER: C POINTS: 1 REFERENCES: Biological Considerations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.10.06.01 - To present the theories that relate to development across the life span and to relate these theories to alcohol and other drug use; Copyright Cengage Learning. Powered by Cognero.

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NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS 9 DATE CREATED: 12/26/2016 4:55 AM DATE MODIFIED: 12/27/2016 1:37 AM 19. The following statement is true of drug use rates in school surveys except for this one: A. African Americans and Hispanics have usage rates higher than whites in the junior high grades.

B. African Americans and Hispanics have lower rates than whites at higher grade levels.

C. Overall, illicit drug use decreased among high school students (in 20).

D. Minorities have lower rates of illicit drug use than Whites in the lower grades.

ANSWER: D POINTS: 1 REFERENCES: The Extent of Substance Use in the United States QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.03 - To provide information on biological, psychological, and social factors involved in substance misuse; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS 11 DATE CREATED: 12/26/2016 4:57 AM DATE MODIFIED: 12/27/2016 1:37 AM 20. Which racial youth group is more likely to become heavy users of cigarettes among females?

A. Middle Eastern B. African American C. Caucasian D. Latino ANSWER: C POINTS: 1 REFERENCES: Psychological Risk Factors QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.04 - To show how special risks for boys differ from the special risks for girls and to argue for the importance of gender-specific programming for girls; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS 26 DATE CREATED: 12/26/2016 4:59 AM DATE MODIFIED: 12/27/2016 1:37 AM Copyright Cengage Learning. Powered by Cognero.

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21. According to research on teen smoking, a strong risk factor for smoking is all except: A. having friends who smoke B. dropping out of school C. having a risk-taking personality D. sports involvement ANSWER: D POINTS: 1 REFERENCES: The Extent of Substance Use in the United States QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.03 - To provide information on biological, psychological, and social factors involved in substance misuse; NATIONAL STANDARDS: United States - CACREP 81 United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS 26 DATE CREATED: 12/26/2016 5:01 AM DATE MODIFIED: 12/27/2016 1:37 AM 22. An explanation presented in the text for the link between early sexual abuse and later development of alcoholism is all except A. the development of biochemical abnormalities in the brain associated with trauma.

B. having older brothers C. the impact of anxiety and stress during adolescence which lead to later self-medication with chemicals D. the sense of shame and self-disgust in the victim which reduces his/her coping skills with later problems ANSWER: B POINTS: 1 REFERENCES: Psychological Risk Factors QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.04 - To show how special risks for boys differ from the special risks for girls and to argue for the importance of gender-specific programming for girls; NATIONAL STANDARDS: United States - CACREP 3f, 3e United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS 26 DATE CREATED: 12/26/2016 5:03 AM DATE MODIFIED: 12/27/2016 1:37 AM 23. Boys with ADHD A. have lower rates of substance misuse than other boys B. have higher rates of substance misuse than other boys C. have the highest rates of substance misuse when they are medicated with Ritalin D. none of the above ANSWER: B Copyright Cengage Learning. Powered by Cognero.

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POINTS: 1 REFERENCES: Psychiatric Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.04 - To show how special risks for boys differ from the special risks for girls and to argue for the importance of gender-specific programming for girls; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS 26 DATE CREATED: 12/26/2016 5:06 AM DATE MODIFIED: 12/27/2016 1:37 AM 24. The male counterpart to female anorexia is A. cutting the skin B. muscle dysmorphia C. binge drinking D. bulimia ANSWER: B POINTS: 1 REFERENCES: Special Risks for Boys QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.04 - To show how special risks for boys differ from the special risks for girls and to argue for the importance of gender-specific programming for girls; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS 26 DATE CREATED: 12/26/2016 5:26 AM DATE MODIFIED: 12/27/2016 1:37 AM 25. BASICS is a program for A. older persons with alcohol problems B. young people with eating disorders C. prevention of college binge drinking D. prevention of muscle dysmorphia ANSWER: C POINTS: 1 REFERENCES: Binge Drinking in Young Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.04 - To show how special risks for boys differ from the special risks for girls and to argue for the importance of gender-specific programming for girls; NATIONAL STANDARDS: United States - CACREP 5k Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS 26 12/26/2016 5:28 AM 12/27/2016 1:37 AM

26. Research from the National Center on Addiction and Substance Abuse at Columbia University reveals that teens who smoke cigarettes are _______ times likelier than nonsmokers to try marijuana and have friends who smoke marijuana.

A. 10 times B. 14 times C. 22 times D. 50 times ANSWER: B POINTS: 1 REFERENCES: The Extent of Substance Use in the United States QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.03 - To provide information on biological, psychological, and social factors involved in substance misuse; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - NOHS 11 DATE CREATED: 12/26/2016 5:29 AM DATE MODIFIED: 12/27/2016 1:37 AM 27. The text recommends from a harm reduction perspective to control college binge drinking through A. greater enforcement of underage drinking laws B. lowering the legal drinking age to 18 or 16 C. restricting the marketing of alcohol products D. B and C are correct ANSWER: D POINTS: 1 REFERENCES: Extent of Drug Use: Europe and the United States QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.02 - To show how substance misuse is often connected to trauma, loss and grief, and a spiritual void; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 3a - Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels.

United States - NOHS 11 DATE CREATED: 12/26/2016 5:31 AM DATE MODIFIED: 12/27/2016 1:37 AM 28. According to the text, principles of motivational intervention are derived from the findings primarily from A. anthropology Copyright Cengage Learning. Powered by Cognero.

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B. social psychology C. abnormal psychology D. behavior modification ANSWER: B POINTS: 1 REFERENCES: Motivational Enhancement Strategies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.05 - To map out the fundamentals of motivational enhancement therapy in conjunction with the stages-of-change model for work with youth; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 3a - Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels.

United States - NOHS 11 DATE CREATED: 12/26/2016 5:34 AM DATE MODIFIED: 12/27/2016 1:37 AM 29. The following statement as of 2012 is true regarding recent combat veterans A. The military no longer allows distribution of cigarettes in veterans’ stores.

B. The VA has determined that 15% of female veterans have been victims of military sexual trauma at the hands of their fellow soldiers.

C. The stress that combat veterans have endured is not of long-term consequence.

D. Reports of sexual abuse by female veterans are often false reports.

ANSWER: B POINTS: 1 REFERENCES: Treatment Implications QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.04 - To show how special risks for boys differ from the special risks for girls and to argue for the importance of gender-specific programming for girls; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 7d - EPAS 7b United States - NOHS 13 DATE CREATED: 12/26/2016 5:36 AM DATE MODIFIED: 12/27/2016 1:37 AM 30. According to Beechem, an expert on elderly alcoholism, all except which of the following is true?

A. the elderly tend to avoid substance abuse services B. there is often a problem of misdiagnosis C. established criteria for classifying alcohol problems among the aged are inadequate D. early onset alcoholism is correlated with fewer health problems than later onset, which tends to be more severe ANSWER: D POINTS: 1 REFERENCES: Treatment Interventions QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.10.06.01 - To present the theories that relate to development across the life span and to relate these theories to alcohol and other drug use; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS 11 DATE CREATED: 12/26/2016 5:43 AM DATE MODIFIED: 12/27/2016 1:37 AM 31. According to the text, an intervention with an elderly person in contrast to a standard intervention should A. proceed more slowly B. contain a larger number of participants C. proceed more rapidly D. be highly confrontational to break entrenched defenses ANSWER: A POINTS: 1 REFERENCES: Treatment Interventions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.10.06.01 - To present the theories that relate to development across the life span and to relate these theories to alcohol and other drug use; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS 11 DATE CREATED: 12/26/2016 5:45 AM DATE MODIFIED: 12/27/2016 1:37 AM 32. The process of brain maturation is complete at age 18.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: The Stages of Growth and Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.01 - To present the theories that relate to development across the life span and to relate these theories to alcohol and other drug use; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS 13 DATE CREATED: 12/26/2016 5:53 AM DATE MODIFIED: 12/27/2016 1:37 AM 33. School surveys exaggerate the drinking and drug use rates of minorities in that age group.

A. True Copyright Cengage Learning. Powered by Cognero.

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B. False ANSWER: False POINTS: 1 REFERENCES: The Business Side of Youth Addiction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.04 - To show how special risks for boys differ from the special risks for girls and to argue for the importance of gender-specific programming for girls; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS 13 DATE CREATED: 12/26/2016 5:55 AM DATE MODIFIED: 12/27/2016 1:37 AM 34. Studies show multiracial adolescents have high rates of smoking and drinking.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: The Extent of Substance Use in the United States QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.06.03 - To provide information on biological, psychological, and social factors involved in substance misuse; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS 13 DATE CREATED: 12/26/2016 5:56 AM DATE MODIFIED: 12/27/2016 1:37 AM

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Chapter_07_Screening_and_Assessment 1. Discuss the impact of strength-based practices on traditional screening and assessment.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Assessment and the Strength Perspective QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.07.06 - To describe how the screening and assessment process can be an opportunity to build recovery capital through identifying strengths.

NATIONAL STANDARDS: United States - CACREP 5e, 3h United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 1 DATE CREATED: 12/26/2016 5:27 AM DATE MODIFIED: 12/27/2016 1:41 AM 2. Explain the advantages and disadvantages of screening tools.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Screening Instruments and Strategies QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.07.02 - To describe well-accepted screening and assessment tools that are readily accessible to clinicians; NATIONAL STANDARDS: United States - CACREP 5b United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 5:29 AM DATE MODIFIED: 12/27/2016 1:41 AM 3. What background knowledge is essential before a counselor can embark on screening and assessment for co-occurring disorder problems?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Assessment of Persons with Co-Occurring Disorders QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.07.05 - To help clinicians individualize the screening and assessment process for different types of clients, such as persons with co-occurring disorders and older adults; NATIONAL STANDARDS: United States - CACREP 3f Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

12/26/2016 5:30 AM 12/27/2016 1:41 AM

4. How is a formal diagnosis useful?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Diagnosing Addiction Problems QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.07.06 - To describe how the screening and assessment process can be an opportunity to build recovery capital through identifying strengths.

NATIONAL STANDARDS: United States - CACREP 5c United States - EPAS 7d - EPAS 7b United States - NOHS Standard 1 DATE CREATED: 12/26/2016 5:32 AM DATE MODIFIED: 12/27/2016 1:41 AM 5. Explain why some strength-based practitioners see assessment as a “political activity”.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Assessment and the Strength Perspective QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.07.06 - To describe how the screening and assessment process can be an opportunity to build recovery capital through identifying strengths.

NATIONAL STANDARDS: United States - CACREP 5b United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 1 DATE CREATED: 12/26/2016 5:34 AM DATE MODIFIED: 12/27/2016 1:41 AM 6. The principle advantage of screening tools is to provide A. A method of positively identifying addiction problems B. A method of quickly detecting the possibility of addiction problems C. A method of securing third-party payments D. A means of holding clients accountable for their behaviors ANSWER: B POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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REFERENCES: Assessment Tools QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.03 - To evaluate advantages and disadvantages of various instruments; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 5:35 AM DATE MODIFIED: 12/27/2016 1:41 AM 7. The Lie/Bet questionnaire rules out pathological gambling problems when a client answers “no” to: A. One question B. Two questions C. Three questions D. Four questions ANSWER: A POINTS: 1 REFERENCES: Screening Instruments and Strategies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.05 - To help clinicians individualize the screening and assessment process for different types of clients, such as persons with co-occurring disorders and older adults; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 5:37 AM DATE MODIFIED: 12/27/2016 1:41 AM 8. Before using a short screening tool, it is helpful to remove any stigma that surrounds addiction by: A. Assuring clients you don’t care if they answer “yes” B. Letting clients know that the screening questions are routine and asked of all clients C. Letting clients know that you suspect they have a problem and need to verify D. Assuring clients that lots of people you see have alcohol, drug, or gambling problems.

ANSWER: B POINTS: 1 REFERENCES: Screening Instruments and Strategies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.02 - To describe well-accepted screening and assessment tools that are Copyright Cengage Learning. Powered by Cognero.

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readily accessible to clinicians; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 5:39 AM DATE MODIFIED: 12/27/2016 1:41 AM 9. Which of the following is not a screen for alcohol problems?

A. CAGE B. TWEAK C. AUDIT D. Twenty questions ANSWER: D POINTS: 1 REFERENCES: Screening Instruments and Strategies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.02 - To describe well-accepted screening and assessment tools that are readily accessible to clinicians; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 5:41 AM DATE MODIFIED: 12/27/2016 1:41 AM 10. Which of the following is the most sensitive alcohol screen for Black obstetric patients and White Women?

A. CAGE B. TWEAK C. AUDIT D. LIE/BET ANSWER: B POINTS: 1 REFERENCES: Screening Instruments and Strategies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.02 - To describe well-accepted screening and assessment tools that are readily accessible to clinicians; NATIONAL STANDARDS: United States - CACREP 3d, 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

12/26/2016 5:43 AM 12/27/2016 1:41 AM

11. Which is the only alcohol screening test designed and validated for international use in a wide variety of populations, cultures, and languages?

A. TWEAK B. SASSI C. AUDIT D. CAGE ANSWER: C POINTS: 1 REFERENCES: Screening Instruments and Strategies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.02 - To describe well-accepted screening and assessment tools that are readily accessible to clinicians; NATIONAL STANDARDS: United States - CACREP 3d, 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 5:45 AM DATE MODIFIED: 12/27/2016 1:41 AM 12. In the GA 20 Question Screen, how many questions must a person answer “yes” for a positive screen of compulsive gambler?

A. 18 B. 3 C. 7 D. 15 ANSWER: C POINTS: 1 REFERENCES: Assessment Tools QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.03 - To evaluate advantages and disadvantages of various instruments; NATIONAL STANDARDS: United States - CACREP 3d, 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

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DATE CREATED: DATE MODIFIED:

12/26/2016 5:52 AM 12/27/2016 1:41 AM

13. Which internet site is not useful for finding alcohol/drug screening and assessment instruments: A. National Institute of Alcohol and Alcohol Abuse B. Addiction Research Institute, University of Texas C. Institute for Behavioral Research at Texas Christian University D. Project Match ANSWER: D POINTS: 1 REFERENCES: Assessment Tools QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.03 - To evaluate advantages and disadvantages of various instruments; NATIONAL STANDARDS: United States - CACREP 3d, 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 5:54 AM DATE MODIFIED: 12/27/2016 1:41 AM 14. The SASSI differs from other substance abuse assessments because: A. Most of the true/false items on one side of the form do not inquire directly about substance abuse B. It can only be administered by physicians C. It also requires a drug test (UA) D. It takes the most time to administer ANSWER: A POINTS: 1 REFERENCES: Assessment Tools QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.03 - To evaluate advantages and disadvantages of various instruments; NATIONAL STANDARDS: United States - CACREP 3d, 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 5:55 AM DATE MODIFIED: 12/27/2016 1:41 AM 15. Which of the following is not a major level of care in the ASAM classification system?

A. Early Intervention B. Medically Managed Intensive Inpatient Treatment Copyright Cengage Learning. Powered by Cognero.

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C. Withdrawal and Detoxification Treatment D. Outpatient Treatment ANSWER: C POINTS: 1 REFERENCES: Assessing Levels of Care QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.04 - To describe the ASAM System of Care and the Integrated System of Care and how they relate to screening and assessment; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 7d - EPAS 7b United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 5:59 AM DATE MODIFIED: 12/27/2016 1:41 AM 16. In co-occurring disorders, which level of care is not classified by CSAT? A. Basic care B. Intermediate care C. Fully integrated care D. Harm reduction care ANSWER: D POINTS: 1 REFERENCES: Assessing Levels of Care QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.04 - To describe the ASAM System of Care and the Integrated System of Care and how they relate to screening and assessment; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 7d - EPAS 7b United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 6:01 AM DATE MODIFIED: 12/27/2016 1:41 AM 17. Which of the following is essential knowledge a counselor should have before conducting screening and assessment for clients who have co-occurring disorders?

A. Familiarity with the diagnostic criteria for common mental disorders B. Complete confidence that you are competent in every area C. Access to the “gold standard” screening/assessment instruments for COD D. Skill in detecting whether or not the client is telling the truth.

ANSWER: A POINTS: 1 REFERENCES: Assessing Levels of Care - Assessment of Persons with Co-Occurring Disorders Copyright Cengage Learning. Powered by Cognero.

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QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.05 - To help clinicians individualize the screening and assessment process for different types of clients, such as persons with co-occurring disorders and older adults; NATIONAL STANDARDS: United States - CACREP 7a United States - EPAS 3h - A general framework for understanding differing abilities and strategies for differentiated interventions United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 6:03 AM DATE MODIFIED: 12/27/2016 1:41 AM 18. Which of the following is the screen that CSAT recommends for use in substance abuse or other settings to help identify clients who may have mental health problems?

A. AUDIT B. Simple Screening Instrument for Substance Abuse C. Mental Health Screening Form-III D. TWEAK ANSWER: C POINTS: 1 REFERENCES: Assessing Levels of Care - Assessment of Persons with Co-Occurring Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.05 - To help clinicians individualize the screening and assessment process for different types of clients, such as persons with co-occurring disorders and older adults; NATIONAL STANDARDS: United States - CACREP 3e, 3f United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 6:04 AM DATE MODIFIED: 12/27/2016 1:41 AM 19. Which of the following has been validated for screening substance abuse problems with older adults?

A. TWEAK B. Twenty Questions C. Geriatric MAST D. Geriatric AUDIT ANSWER: C POINTS: 1 REFERENCES: Screening and Assessment of Older Adults QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.05 - To help clinicians individualize the screening and assessment process for different types of clients, such as persons with co-occurring disorders and older adults; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 6:06 AM DATE MODIFIED: 12/27/2016 1:41 AM 20. Of the following, which statement identifies one of the purposes of formal diagnoses: A. Helps clinicians communicate with each other B. Justifies the years of education required by clinicians C. Lets client know that the clinician is an expert in the field D. Adds to the esteem of the profession ANSWER: A POINTS: 1 REFERENCES: Diagnosing Addiction Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.06 - To describe how the screening and assessment process can be an opportunity to build recovery capital through identifying strengths.

NATIONAL STANDARDS: United States - CACREP 5c United States - EPAS 7d - EPAS 7b United States - NOHS Standard 1 DATE CREATED: 12/26/2016 6:08 AM DATE MODIFIED: 12/27/2016 1:41 AM 21. Which of the following is not recommended for building a relationship and finding client strengths?

A. Focus on what is happening in the client’s life B. Focus on what the client wants to be different C. Set aside the need to gather specific client information until you find out why they have come to the agency and what they want different D. Require clients to fill out intake forms before seeing a counselor.

ANSWER: D POINTS: 1 REFERENCES: Assessment and the Strength Perspective QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.06 - To describe how the screening and assessment process can be an opportunity to build recovery capital through identifying strengths.

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NATIONAL STANDARDS: United States - CACREP 5h United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 1 DATE CREATED: 12/26/2016 6:10 AM DATE MODIFIED: 12/27/2016 1:41 AM 22. Focusing attention on what the client wants to see happen as a result of working together with the clinician accomplishes which goal?

A. Sets up a collaborative partnership with the clinician B. Establishes the credibility of the clinician’s knowledge C. Helps client understand that they need to stay abstinent D. Allows the clinician a way to tell the client which options they will pursue ANSWER: A POINTS: 1 REFERENCES: Screening and Assessment of Older Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.06 - To describe how the screening and assessment process can be an opportunity to build recovery capital through identifying strengths.

NATIONAL STANDARDS: United States - CACREP 5i - Development of measurable outcomes for clients United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 1 DATE CREATED: 12/26/2016 6:12 AM DATE MODIFIED: 12/27/2016 1:41 AM 23. Which of the following does not describe empathy as described by Carl Rogers and William Miller: A. The ability to listen to your clients accurately B. The ability to reflect back to your clients the meaning of what they have said C. Repeating back what the client said D. Using your experience to make a responsive statement to what your client said ANSWER: C POINTS: 1 REFERENCES: Assessment and the Strength Perspective QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.06 - To describe how the screening and assessment process can be an opportunity to build recovery capital through identifying strengths.

NATIONAL STANDARDS: United States - CACREP 5d - Ethical and culturally relevant strategies for establishing and maintaining in-person and technology-assisted relationships United States - EPAS 7d - EPAS 7b United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

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DATE CREATED: DATE MODIFIED:

12/26/2016 6:14 AM 12/27/2016 1:41 AM

24. Which of the following cautions do not apply to persons who are part of ethnic minority groups or who do not use English as a first language?

A. Measurement error B. Different rituals and world-views C. Translation and interpretation errors D. Asking questions ANSWER: D POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.01 - To highlight changes in screening and assessment practices, from a traditional medical model to the innovations of the Affordable Care Act; NATIONAL STANDARDS: United States - CACREP 5d - Ethical and culturally relevant strategies for establishing and maintaining in-person and technology-assisted relationships United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 6:15 AM DATE MODIFIED: 12/27/2016 1:41 AM 25. Which of the following is not a limitation of the Diagnostic and Statistical Manual.

A. Subject to the political influence of the pharmaceutical industry B. Deficit-focused C. Serves as the basis for third-party reimbursement D. Pays little attention to the issues of social injustice that may cause or increase the symptom and problem ANSWER: C POINTS: 1 REFERENCES: Diagnosing Addiction Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.01 - To highlight changes in screening and assessment practices, from a traditional medical model to the innovations of the Affordable Care Act; NATIONAL STANDARDS: United States - CACREP 3c United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 6:17 AM DATE MODIFIED: 12/27/2016 1:41 AM Copyright Cengage Learning. Powered by Cognero.

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26. The GA Twenty Questions has high reliability and a high correlation with the DSM-IV. A. True B. False ANSWER: True POINTS: 1 REFERENCES: Diagnosing Addiction Problems QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.02 - To describe well-accepted screening and assessment tools that are readily accessible to clinicians; NATIONAL STANDARDS: United States - CACREP 3c United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 6:19 AM DATE MODIFIED: 12/27/2016 1:41 AM 27. The ASAM classification system is not widely used.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: Assessing Levels of Care QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.03 - To evaluate advantages and disadvantages of various instruments; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 7d - EPAS 7b United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 6:20 AM DATE MODIFIED: 12/27/2016 1:41 AM 28. There is no single “gold standard” for COD assessment.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: ADTR.VANW.18.07.02—To describe well-accepted screening and assessment tools that are readily accessible to clinicians; QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.02 - To describe well-accepted screening and assessment tools that are Copyright Cengage Learning. Powered by Cognero.

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readily accessible to clinicians; NATIONAL STANDARDS: United States - CACREP 5b United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 6:22 AM DATE MODIFIED: 12/27/2016 1:41 AM 29. Asking a lot of questions initially in the first interview with a client can set up the expectation that the agency (counselor) is the expert on the client’s condition.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: Screening Instruments and Strategies QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.07.06 - To describe how the screening and assessment process can be an opportunity to build recovery capital through identifying strengths.

NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 6:27 AM DATE MODIFIED: 12/27/2016 1:41 AM

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Chapter_08__Strengths_and_Evidence_Based_Helping_Strategies 1. Which factors indicate that it is important to “reduce barriers” to treatment?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Reducing Barriers QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.08.02 - Discuss how harm reduction approaches work in a variety of settings; NATIONAL STANDARDS: United States - CACREP 1e United States - EPAS 3a - Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels.

United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 6:18 AM DATE MODIFIED: 12/27/2016 1:49 AM 2. Discuss three methods of reducing barriers to treatment.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Reducing Barriers QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.08.02 - Discuss how harm reduction approaches work in a variety of settings; NATIONAL STANDARDS: United States - CACREP 1e United States - EPAS 3a - Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels.

United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 6:19 AM DATE MODIFIED: 12/27/2016 1:49 AM 3. Explain the purpose of a scaling question and how you might ask it?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Solution Focused Therapy QUESTION TYPE: Essay HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.08.03 - Explain motivational interviewing, solution-focused, and cognitive-behavioral models of practice; NATIONAL STANDARDS: United States - CACREP 5g - Essential interviewing, counseling, and case conceptualization skills United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 6:21 AM DATE MODIFIED: 12/27/2016 1:49 AM 4. Argue the pros and cons of harm reduction.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Harm Reduction QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.08.02 - Discuss how harm reduction approaches work in a variety of settings; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 6:23 AM DATE MODIFIED: 12/27/2016 1:49 AM 5. What does empirical research say about the effectiveness of solution-focused therapy? Motivational interviewing?

Cognitive-behavioral?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Research of the Effectiveness of Solution Focused Therapy QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.08.03 - Explain motivational interviewing, solution-focused, and cognitive-behavioral models of practice; NATIONAL STANDARDS: United States - CACREP 8b - Identification of evidence-based counseling practices United States - EPAS 7d - EPAS 7b Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

12/26/2016 6:25 AM 12/27/2016 1:49 AM

6. Which of the following is not a tenet of a strengths-based approach?

A. providing options B. choice C. urinalysis testing D. awareness of the client’s readiness for change ANSWER: C POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.01 - Describe strengths-based practices that honor the principle of client self-determination, focus on possibilities, and pay attention to client’s readiness to change; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 31, 26 DATE CREATED: 12/26/2016 6:30 AM DATE MODIFIED: 12/27/2016 1:49 AM 7. What approach is not considered in the text to be strengths-based?

A. harm reduction strategies B. motivational interviewing C. problem-focused therapy D. solution-focused interventions ANSWER: D POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.01 - Describe strengths-based practices that honor the principle of client self-determination, focus on possibilities, and pay attention to client’s readiness to change; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 31, 26 DATE CREATED: 12/26/2016 6:32 AM DATE MODIFIED: 12/27/2016 1:49 AM Copyright Cengage Learning. Powered by Cognero.

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8. Most clients come to treatment in the A. precontemplation and contemplation stages B. contemplation stage only C. preparation stage D. action stage ANSWER: A POINTS: 1 REFERENCES: Attending to Readiness to Change QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.02 - Discuss how harm reduction approaches work in a variety of settings; NATIONAL STANDARDS: United States - CACREP 5h United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 6:33 AM DATE MODIFIED: 12/27/2016 1:49 AM 9. Self-change or “natural recovery” occurs with what percent of persons who quit smoking altogether?

A. 50-60% B. 80-90% C. 25% D. 0-10% ANSWER: B POINTS: 1 REFERENCES: Harm Reduction Strategies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.02 - Discuss how harm reduction approaches work in a variety of settings; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 1 DATE CREATED: 12/26/2016 6:34 AM DATE MODIFIED: 12/28/2016 3:32 AM 10. Which of the following is not a clinical principle of harm reduction: A. Challenge stigmatization.

B. Start with intake procedures to gather client demographics C. Develop a collaborative relationship with the client.

D. Drop preconceived notions about client goals.

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ANSWER: B POINTS: 1 REFERENCES: Harm Reduction Psychotherapy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.02 - Discuss how harm reduction approaches work in a variety of settings; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 1 DATE CREATED: 12/26/2016 6:42 AM DATE MODIFIED: 12/27/2016 1:49 AM 11. Which of the following is an example of a harm reduction strategy?

A. insisting clients pay at least some money for treatment B. lowering financial barriers to treatment C. removing access to injection equipment D. preventing physicians from prescribing methadone ANSWER: B POINTS: 1 REFERENCES: Reducing Barriers QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.02 - Discuss how harm reduction approaches work in a variety of settings; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 6:44 AM DATE MODIFIED: 12/27/2016 1:49 AM 12. The outcome measurement for harm reduction therapy is: A. abstinence from the addictive behavior B. any step in the direction of reducing harm C. successful employment D. entering formal treatment ANSWER: B POINTS: 1 REFERENCES: Harm Reduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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LEARNING OBJECTIVES: ADTR.VANW.18.08.02 - Discuss how harm reduction approaches work in a variety of settings; NATIONAL STANDARDS: United States - CACREP 5i - Development of measurable outcomes for clients United States - EPAS 9a - Evaluate Practice with Individuals, Families, Groups, Organizations, and Communities—Apply evaluation findings to improve practice effectiveness at the micro, mezzo, and macro levels United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 6:46 AM DATE MODIFIED: 12/27/2016 1:49 AM 13. Which of the following characterizes Solution-focused therapy?

A. looks for the root of the problem B. sees the person as the problem.

C. relies on diagnostic labels from the DSM. D. assumes the future can be created and negotiated regardless of the problem ANSWER: D POINTS: 1 REFERENCES: Solution Focused Therapy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.03 - Explain motivational interviewing, solution-focused, and cognitive-behavioral models of practice; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 1 DATE CREATED: 12/26/2016 6:47 AM DATE MODIFIED: 12/27/2016 1:49 AM 14. Motivational interviewing was developed by _____________ as he demonstrated his motivational techniques to Norwegian student interns.

A. William Miller B. Harold Hughes C. Charles Rapp D. Alan Marlatt ANSWER: A POINTS: 1 REFERENCES: Motivational Interviewing QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.03 - Explain motivational interviewing, solution-focused, and cognitive-behavioral models of practice; NATIONAL STANDARDS: United States - CACREP 5c United States - EPAS 6a - Apply knowledge of human behavior and the social environment, Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

12/26/2016 6:50 AM 12/27/2016 1:49 AM

15. A major focus in motivational interviewing is to help clients: A. establish a sense of identity B. examine family of origin issues C. break through denial D. explore and resolve ambivalence ANSWER: D POINTS: 1 REFERENCES: Motivational Interviewing QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.03 - Explain motivational interviewing, solution-focused, and cognitive-behavioral models of practice; NATIONAL STANDARDS: United States - CACREP 5c United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 6:53 AM DATE MODIFIED: 12/27/2016 1:49 AM 16. Which of the following is not a technique for enhancing motivation?

A. roll with resistance B. express empathy C. break through denial D. develop discrepancy ANSWER: C POINTS: 1 REFERENCES: Motivational Interviewing QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.04 - Demonstrate examples of each approach, both with individuals and in group settings; NATIONAL STANDARDS: United States - CACREP 5c Copyright Cengage Learning. Powered by Cognero.

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United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

12/26/2016 6:55 AM 12/28/2016 3:32 AM

17. Which of the following is a goal of motivational interviewing: A. compliance from the client B. challenging resistance C. confrontation D. exploring and resolving ambivalence ANSWER: D POINTS: 1 REFERENCES: Motivational Interviewing QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.04 - Demonstrate examples of each approach, both with individuals and in group settings; NATIONAL STANDARDS: United States - CACREP 5g - Essential interviewing, counseling, and case conceptualization skills United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 6:57 AM DATE MODIFIED: 12/27/2016 1:49 AM 18. Cognitive-behavioral therapy is based on the idea that: A. abstinence is required in order to change addictive behaviors B. addiction is a disease with inevitable progression.

C. maladaptive thinking and bad habits are the mechanisms that cause addictive problems D. a person needs to “hit bottom” before they can change their addictive behavior.

ANSWER: C POINTS: 1 REFERENCES: Cognitive Behavioral Therapy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.03 - Explain motivational interviewing, solution-focused, and cognitive-behavioral models of practice; NATIONAL STANDARDS: United States - CACREP 3h Copyright Cengage Learning. Powered by Cognero.

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United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 1 12/26/2016 6:59 AM 12/27/2016 1:49 AM

19. The story of “Mr. Glue Head” best illustrates: A. the problem with using such a label for a drug user.

B. the dangers of inhalant use.

C. the advantages of letting the client define the problem.

D. the risk of letting the client define the problem.

ANSWER: C POINTS: 1 REFERENCES: Solution Focused Therapy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.04 - Demonstrate examples of each approach, both with individuals and in group settings; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 7d - EPAS 7b United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 7:01 AM DATE MODIFIED: 12/27/2016 1:49 AM 20. Which of the following is not a method used in cognitive-behavioral therapy: A. reinforcement B. the miracle question C. modeling D. ABC of emotions chart ANSWER: B POINTS: 1 REFERENCES: Cognitive Behavioral Therapy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.04 - Demonstrate examples of each approach, both with individuals and in group settings; NATIONAL STANDARDS: United States - CACREP 5c United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

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DATE CREATED: DATE MODIFIED:

12/26/2016 7:03 AM 12/27/2016 1:49 AM

21. Which of the following best describes the effectiveness research on Cognitive-behavioral therapy?

A. a promising approach B. the most empirically supported of all the group therapy interventions C. the least supported approach to addiction intervention D. less empirical support than Solution-focused.

ANSWER: B POINTS: 1 REFERENCES: Research on CBT Effectiveness QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.03 - Explain motivational interviewing, solution-focused, and cognitive-behavioral models of practice; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 7:06 AM DATE MODIFIED: 12/27/2016 1:49 AM 22. Which of the following is not a good reason for using group therapy as a modality for addiction treatment: A. cost-effective B. in general, group therapy is just as effective as individual therapy C. it’s the best modality for using films and lectures to describe the nature of addiction D. helps people who have become isolated from friends and family ANSWER: C POINTS: 1 REFERENCES: Group Therapy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.03 - Explain motivational interviewing, solution-focused, and cognitive-behavioral models of practice; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 7:08 AM DATE MODIFIED: 12/27/2016 1:49 AM Copyright Cengage Learning. Powered by Cognero.

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23. A group that has no conditions for group membership, no requirement for attendance or participation, and no requirement for abstinence or the desire for abstinence is best described as a: A. cognitive-behavioral group B. harm-reduction drop-in group C. solution-focused group D. twelve-step group ANSWER: B POINTS: 1 REFERENCES: Harm Reduction Psychotherapy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.02 - Discuss how harm reduction approaches work in a variety of settings; NATIONAL STANDARDS: United States - CACREP 5c United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 7:10 AM DATE MODIFIED: 12/27/2016 1:49 AM 24. What is the criterion that is used to guide addiction treatment matching in a majority of states?

A. OARS B. ASAM C. AUDIT D. SAMHSA ANSWER: B POINTS: 1 REFERENCES: Traditional Treatment at the Crossroads QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.05 - Discuss challenges to the traditional treatment model of detoxification, acute care, residential programs, outpatient services, and transitional living environments.

NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 7:12 AM DATE MODIFIED: 12/27/2016 1:49 AM Copyright Cengage Learning. Powered by Cognero.

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25. A strength-based approach to detoxification services would include which part of the following: A. focus on immediate housing needs B. focus on why the client is in detox C. focus on agency expectations D. focus on family expectations ANSWER: A POINTS: 1 REFERENCES: Traditional Treatment at the Crossroads QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.05 - Discuss challenges to the traditional treatment model of detoxification, acute care, residential programs, outpatient services, and transitional living environments.

NATIONAL STANDARDS: United States - CACREP 5k United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 7:13 AM DATE MODIFIED: 12/27/2016 1:49 AM 26. Harm reduction strategies for alcohol misuse are based on the premise that alcohol use ranges across a continuum, starting with no consequences for use and ending with devastating consequences for use.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Harm Reduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.02 - Discuss how harm reduction approaches work in a variety of settings; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 7:15 AM DATE MODIFIED: 12/27/2016 1:49 AM 27. A person in the “contemplation” stage exhibits little or no ambivalence about making a change.

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A. True B. False ANSWER: False POINTS: 1 REFERENCES: Attending to Readiness to Change QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.02 - Discuss how harm reduction approaches work in a variety of settings; NATIONAL STANDARDS: United States - CACREP 5h United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 7:17 AM DATE MODIFIED: 12/27/2016 1:49 AM 28. The stages of change model is a linear process.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: Attending to Readiness to Change QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.02 - Discuss how harm reduction approaches work in a variety of settings; NATIONAL STANDARDS: United States - CACREP 5c United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 7:18 AM DATE MODIFIED: 12/27/2016 1:49 AM 29. A person who is triggered to gamble by crowded parking lots is experiencing a conditioned response.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Cognitive Behavioral Therapy Copyright Cengage Learning. Powered by Cognero.

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QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.04 - Demonstrate examples of each approach, both with individuals and in group settings; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 7:20 AM DATE MODIFIED: 12/27/2016 1:49 AM 30. There is a strong relationship between a client’s initial motivation at treatment entry and outcomes six months later.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: Attending to Readiness to Change QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.08.02 - Discuss how harm reduction approaches work in a variety of settings; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 7c - Develop mutually agreed-on intervention goals and objectives based on the critical assessment of strengths, needs, and challenges within clients and constituencies United States - NOHS Standard 1 DATE CREATED: 12/26/2016 7:21 AM DATE MODIFIED: 12/27/2016 1:49 AM

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Chapter_09__Mutual_Help_Groups_and_Spiritual_Religious_Resources 1. Explain the authors’ contention that AA can be viewed as a “narrative community.” Do you agree or disagree?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: How Does AA Really Work? / AA as a Narrative Community 365 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6b United States - EPAS 2b - Present themselves as learners and engage clients and constituencies as experts of their own experiences United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 6:34 AM DATE MODIFIED: 12/27/2016 2:00 AM 2. Explain the differences between a Twelve-step facilitation model practiced in a professional treatment program and a Twelve-step group as practiced in the community.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: AA in the Community Versus 12-Step Facilitation Intreatment Programs 358-359 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6f United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 6:39 AM DATE MODIFIED: 12/27/2016 2:00 AM 3. What is the meaning of “disease” in the Twelve-step community?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: How Does AA Really Work? / AA as a Narrative Community 367 QUESTION TYPE: Essay Copyright Cengage Learning. Powered by Cognero.

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HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6f United States - EPAS 4b - Apply critical thinking to engage in analysis of quantitative and qualitative research methods and research findings United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 6:42 AM DATE MODIFIED: 12/27/2016 2:00 AM 4. How does life transformation take place in a Twelve-step community program?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: How Does AA Really Work? / AA as a Narrative Community 365 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 5a - Theories and models of counseling United States - EPAS 7d - EPAS 7b United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 6:43 AM DATE MODIFIED: 12/27/2016 2:00 AM 5. Visitors who want to attend a twelve-step group in the community should A. attend an open meeting B. read the Big Book before attending C. ask permission of the group facilitator D. only go with a member of that group ANSWER: A POINTS: 1 REFERENCES: Other Mutual Support Groups / How to Support Client Involvement in Mutual Help Groups QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.03 - To offer tips on how to support client involvement in mutual help groups; NATIONAL STANDARDS: United States - CACREP 6e United States - EPAS 8e - Facilitate effective transitions and endings that advance mutually agreed-on goals Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

12/26/2016 6:46 AM 12/27/2016 2:00 AM

6. “Cross-talk” in a 12-step meeting means A. giving advice or rebutting someone’s point B. talking across the table to someone else C. talking negative about a person or topic D. crossing the line on what is acceptable to discuss ANSWER: A POINTS: 1 REFERENCES: Alcoholics Anonymous / Thumbnail Sketch of Alcoholics Anonymous QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6f United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 6:48 AM DATE MODIFIED: 12/27/2016 2:00 AM 7. A fundamental difference between AA meetings and 12 Step treatment models is: A. AA meetings stress the voluntary nature of attendance.

B. Compliance is stressed in the AA meetings.

C. The treatment models are highly directive.

D. AA only requires monthly dues ANSWER: A POINTS: 1 REFERENCES: AA in the Community Versus 12-Step Facilitation Intreatment Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6c United States - EPAS 8b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and Copyright Cengage Learning. Powered by Cognero.

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societal level when appropriate to the goals of the relationship.

12/26/2016 6:50 AM 12/27/2016 2:00 AM

8. A fundamental difference between the writings of cofounder Bill Wilson and professional treatment programs that practice "Twelve-Step Facilitation" is around the issue of _______.

A. attendance B. confidentiality C. compliance ANSWER: C POINTS: 1 REFERENCES: AA in the Community Versus 12-Step Facilitation Intreatment Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6c United States - EPAS 8b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 6:52 AM DATE MODIFIED: 12/27/2016 2:00 AM 9. The Twelve Traditions are: A. a historical perspective on AA. B. guidelines for the functioning of the program in the community.

C. an alternative to the Twelve Steps.

D. no longer applicable to modern AA ANSWER: B POINTS: 1 REFERENCES: Alcoholics Anonymous / Thumbnail Sketch of Alcoholics Anonymous QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6a United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 6:54 AM Copyright Cengage Learning. Powered by Cognero.

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10. The first step of the 12 steps of AA begins: A. “Came to believe that a power greater than ourselves could restore us to sanity.”

B. “We admitted we were powerless over alcohol.”

C. “Made a decision to turn our will and our lives over to the care of God as we understood Him.” D. none of the above ANSWER: B POINTS: 1 REFERENCES: Alcoholics Anonymous / Thumbnail Sketch of Alcoholics Anonymous QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6c United States - EPAS 8b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 6:56 AM DATE MODIFIED: 12/28/2016 3:34 AM 11. Persons who wish for help with managing to drink moderately should attend: A. Alcoholics Anonymous B. Moderation Management C. SMART Recovery D. Women for Sobriety ANSWER: B POINTS: 1 REFERENCES: Other Mutual Support Groups / Moderation Management QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6f United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 6:59 AM Copyright Cengage Learning. Powered by Cognero.

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12/27/2016 2:00 AM

12. Alcoholics Anonymous, as practiced as a mutual-help group in the community: A. is run by recovering individuals B. non-voluntary C. requires working on the 12 steps D. requires people to stay sober for at least two months before becoming members ANSWER: A POINTS: 1 REFERENCES: AA in the Community Versus 12-Step Facilitation Intreatment Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6f United States - EPAS 8s United States - NOHS Standard 1 DATE CREATED: 12/26/2016 7:01 AM DATE MODIFIED: 12/27/2016 2:00 AM 13. According to "the metaphor of disease": alcoholism is a threefold disease and includes which of the following?

A. mental, physical, and spiritual B. physical, spiritual, and emotional C. psychological, physical, and emotional D. none of the above ANSWER: A POINTS: 1 REFERENCES: How Does AA Really Work? / AA as a Narrative Community QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6a United States - EPAS 8b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 7:04 AM DATE MODIFIED: 12/27/2016 2:00 AM 14. Which of the following requires a spiritual orientation?

A. Women for Sobriety B. Alcoholics Anonymous Copyright Cengage Learning. Powered by Cognero.

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C. SMART Recovery D. Moderation Management ANSWER: B POINTS: 1 REFERENCES: Summary and Conclusion QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.04 - To introduce spiritual and religious resources that can be a protective factor against addiction and a helpful factor in recovery.

NATIONAL STANDARDS: United States - CACREP 6g United States - EPAS 7d - EPAS 7b United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 7:07 AM DATE MODIFIED: 12/27/2016 2:00 AM 15. Women make up approximately ___% of AA membership (as of 2014).

A. 15 B. 38 C. 55 D. 75 ANSWER: B POINTS: 1 REFERENCES: How does AA Really Work? / Whom Does AA Benefit?

QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6e United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 13 DATE CREATED: 12/26/2016 7:09 AM DATE MODIFIED: 12/27/2016 2:00 AM 16. In AA, newcomers may spend entire days in meeting after meeting; it is routinely suggested that they attend ______ meetings in 90 days.

A. 30 B. 45 C. 60 D. 90 ANSWER: D POINTS: 1 REFERENCES: How Does AA Really Work? / AA as a Narrative Community Copyright Cengage Learning. Powered by Cognero.

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QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6c United States - EPAS 7d - EPAS 7b United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 7:11 AM DATE MODIFIED: 12/27/2016 2:00 AM 17. According to the most recent AA member random survey (AA, 2014) of 6,000 AA members in the US and Canada, the average AA member is: A. female B. white C. age 21-30 D. received no professional treatment before AA attendance ANSWER: B POINTS: 1 REFERENCES: Alcoholics Anonymous / Thumbnail Sketch of Alcoholics Anonymous QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 7:13 AM DATE MODIFIED: 12/27/2016 2:00 AM 18. Which of the following is a type of group not found in specialized AA meetings?

A. veterans B. elders C. Native Americans D. persons with problem gambling as well as alcoholism ANSWER: D POINTS: 1 REFERENCES: How Does AA Really Work? / Whom Does AA Benefit?

QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6f United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 16 - Human service professionals advocate for social justice and seek to eliminate oppression. They raise awareness of underserved population in their communities and with the legislative system.

DATE CREATED: 12/26/2016 7:15 AM DATE MODIFIED: 12/27/2016 2:00 AM 19. Gamblers Anonymous is A. unwelcoming of women B. becoming more friendly to women C. only open to males D. only holds women-only meetings for women ANSWER: B POINTS: 1 REFERENCES: Gamblers Anonymous QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6e United States - EPAS 7d - EPAS 7b United States - NOHS Standard 14 DATE CREATED: 12/26/2016 7:17 AM DATE MODIFIED: 12/27/2016 2:00 AM 20. SMART recovery is drawn from the principles of A. harm reduction.

B. cognitive-behavioral therapy.

C. psychodynamic therapy.

D. transactional analysis.

ANSWER: B POINTS: 1 REFERENCES: Other Mutual-Support Groups / SMART Recovery QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6a United States - EPAS 7d - EPAS 7b United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are Copyright Cengage Learning. Powered by Cognero.

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conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

12/26/2016 7:19 AM 12/27/2016 2:00 AM

21. According to the views of moderation management (MM), drinking problems are viewed as: A. disease B. bad habits C. mental illness D. moral impurities ANSWER: B POINTS: 1 REFERENCES: Other Mutual-Support Groups / Moderation Management (MM) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6c United States - EPAS 7d - EPAS 7b United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 7:20 AM DATE MODIFIED: 12/27/2016 2:00 AM 22. Which characteristic does not describe the characteristics of moderation management members A. women B. middle-class C. poorly educated D. don’t have severe drinking problems ANSWER: C POINTS: 1 REFERENCES: Other Mutual-Support Groups / Moderation Management (MM) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6f United States - EPAS 7d - EPAS 7b United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 7:22 AM DATE MODIFIED: 12/27/2016 2:00 AM Copyright Cengage Learning. Powered by Cognero.

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23. Moderation Management is not intended for people who experience significant withdrawal symptoms when they stop drinking.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Other Mutual-Support Groups / Moderation Management (MM) 378 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6f United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 7:24 AM DATE MODIFIED: 12/27/2016 2:00 AM 24. Alcoholics Anonymous requires people to believe in a Christian God. A. True B. False ANSWER: False POINTS: 1 REFERENCES: How Does AA Really Work? / Framing AA as a Spiritual Fellowship 363 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.04 - To introduce spiritual and religious resources that can be a protective factor against addiction and a helpful factor in recovery.

NATIONAL STANDARDS: United States - CACREP 2g - Social and Cultural Diversity - The impact of spiritual beliefs on clients’ and counselors’ worldviews.

United States - EPAS 7d - EPAS 7b United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 7:26 AM DATE MODIFIED: 12/27/2016 2:00 AM 25. 12 Step groups and 12-Step facilitation are one and the same.

A. True B. False ANSWER: False POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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REFERENCES: AA in the Community Versus 12-Step Facilitation Intreatment Programs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6f United States - EPAS 7d - EPAS 7b United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 7:28 AM DATE MODIFIED: 12/27/2016 2:00 AM 26. The practice of AA members introducing themselves by their first names and then saying, “...and I’m an alcoholic,” is a counter-therapeutic reinforcement of a negative label, according to the text.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: How Does AA Really Work? / AA as a Narrative Community QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.09.02 - To discuss various types of mutual help groups and their effectiveness including groups with a spiritual base and groups that are specifically nonreligious; NATIONAL STANDARDS: United States - CACREP 6c United States - EPAS 8b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 7:31 AM DATE MODIFIED: 12/27/2016 2:00 AM 27. There is evidence to indicate that AA is a very useful approach for alcoholics trying to stop drinking.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: AA in the Community Versus 12-Step Facilitation Intreatment Programs / Research on AA Effectiveness QUESTION TYPE: True / False HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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LEARNING OBJECTIVES: ADTR.VANW.18.09.01 - To encourage professionals to investigate mutual help groups and spiritual/religious resources for clients; NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 9c - Critically analyze, monitor, and evaluate intervention and program processes and outcomes United States - NOHS Standard 18 - Human service professionals describe the effectiveness of treatment programs, interventions and treatments, and/or techniques accurately, supported by data whenever possible.

DATE CREATED: 12/26/2016 7:33 AM DATE MODIFIED: 12/27/2016 2:00 AM

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Chapter_10__Family_Risks_and_Resiliencies 1. Explain how the systems perspective has advanced since the early days of classic systems theory. How did mothers end up getting the blame for strange behavior in the child?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Classic Family Systems Therapy 394-395.

QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.10.01 - To introduce concepts of contemporary family systems theory and to contrast it with classic systems theory; NATIONAL STANDARDS: United States - CACREP 3a - multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 5b - A systems approach to conceptualizing clients United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 7:46 AM DATE MODIFIED: 12/27/2016 2:08 AM 2. What are some of the major objections to use of the concepts, “chief enabler” and “codependent?” What are some substitute terms that could be used?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: 403, 405 Wegscheider’s Role Theory QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.10.02 - To review the history of counseling families with alcoholic and other addicted family members; NATIONAL STANDARDS: United States - CACREP 3a - multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 7:49 AM DATE MODIFIED: 12/27/2016 2:08 AM 3. From a strengths perspective, consider the characteristics of the various family roles as originally named by Sharon Wegscheider.

ANSWER: Answers May Vary Copyright Cengage Learning. Powered by Cognero.

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POINTS: REFERENCES:

1 Wegscheider’s Role Theory 404 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.10.03 - To present a new conceptualization of strengths-based family practice; NATIONAL STANDARDS: United States - CACREP 3h: United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 7:50 AM DATE MODIFIED: 12/27/2016 2:08 AM 4. How can referrals to Al-Anon be helpful to some clients?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Classic Family Systems Therapy / Focus on the Family 398, 411 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.10.07 - To describe effective exercises that can be used in family programming.

NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 8b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 7:52 AM DATE MODIFIED: 12/27/2016 2:08 AM 5. Diagram family communication patterns such as enmeshed, isolated, and healthy.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Stages of Change and Family Treatment / Precontemplation 409 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.10.04 - To show how the stages-of-change model can be adapted for work Copyright Cengage Learning. Powered by Cognero.

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with families on the journey from precontemplation through maintenance; NATIONAL STANDARDS: United States - CACREP 5g - Essential interviewing, counseling, and case conceptualization skills United States - EPAS 4b - Apply critical thinking to engage in analysis of quantitative and qualitative research methods and research findings United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 7:54 AM DATE MODIFIED: 12/27/2016 2:08 AM 6. Discuss healing work from the strengths perspective (“rename, reframe, reclaim”).

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Healing 424-426 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.10.06 - To present guidelines for counselors to help a family heal—the “rename, reframe, reclaim” model; NATIONAL STANDARDS: United States - CACREP 5c United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standard 1 DATE CREATED: 12/26/2016 7:56 AM DATE MODIFIED: 12/27/2016 2:08 AM 7. Describe some of the exercises that can be used to engage family members.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Exercises for Family Groups 426-429 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.10.07 - To describe effective exercises that can be used in family programming.

NATIONAL STANDARDS: United States - CACREP 5g - Essential interviewing, counseling, and case conceptualization skills United States - EPAS 8b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 8:00 AM Copyright Cengage Learning. Powered by Cognero.

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DATE MODIFIED:

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8. According to the boxed reading, “Children of Addicts,” Iowa families increasingly are facing problems related to substance use involving A. marijuana B. an increase in immigration.

C. methamphetamines.

D. high unemployment rates.

ANSWER: C POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.03 - To present a new conceptualization of strengths-based family practice; NATIONAL STANDARDS: United States - CACREP 3i United States - EPAS 6b - Use empathy, reflection, and interpersonal skills to effectively engage diverse clients and constituencies United States - NOHS Standard 1 DATE CREATED: 12/26/2016 8:01 AM DATE MODIFIED: 12/27/2016 2:08 AM 9. A major thesis of chapter 10 on family counseling is that A. the drug addict is the symptom carrier of the family dysfunction B. anorexia is often the product of an overprotective mother C. One should seek the cause of family mental illness in faulty family communication D. Addiction is a family illness.

ANSWER: D POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.03 - To present a new conceptualization of strengths-based family practice; NATIONAL STANDARDS: United States - CACREP 3a - multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standard 13 DATE CREATED: 12/26/2016 8:03 AM DATE MODIFIED: 12/27/2016 2:08 AM 10. According to classical family systems theorists, the person with the drug use problem is viewed as______________.

A. a person suffering from a mental disorder.

B. the symptom carrier.

C. the problem.

D. the person in need of a formal Intervention.

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ANSWER: B POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.01 - To introduce concepts of contemporary family systems theory and to contrast it with classic systems theory; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 8:05 AM DATE MODIFIED: 12/27/2016 2:08 AM 11. According to the text, _____________ is/are addressed in substance abuse treatment but is/are relatively ignored by professional family therapists.

A. genograms B. children’s roles in the family C. spirituality D. interactionism ANSWER: C POINTS: 1 REFERENCES: Classic Family Systems Therapy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.01 - To introduce concepts of contemporary family systems theory and to contrast it with classic systems theory; NATIONAL STANDARDS: United States - CACREP 2g - Social and Cultural Diversity - The impact of spiritual beliefs on clients’ and counselors’ worldviews.

United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 8:07 AM DATE MODIFIED: 12/27/2016 2:08 AM 12. Al-Anon A. was founded in the 1950's to meet the needs of persons with substance use problems.

B. was originally only for wives of alcoholics C. uses a totally distinct version of the 12 Steps D. has declined significantly in popularity today.

ANSWER: B Copyright Cengage Learning. Powered by Cognero.

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POINTS: 1 REFERENCES: Classic Family Systems Therapy / Focus on the Family QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.02 - To review the history of counseling families with alcoholic and other addicted family members; NATIONAL STANDARDS: United States - CACREP 1a - history and philosophy of the counseling profession and its specialty areas United States - EPAS 5a - Theories and models of counseling United States - NOHS Standard 13 DATE CREATED: 12/26/2016 8:13 AM DATE MODIFIED: 12/27/2016 2:08 AM 13. Family therapy as a profession is criticized in the text for its use of a traditional _________model A. holistic B. classic systems C. ecological D. linear approach ANSWER: B POINTS: 1 REFERENCES: Classic Family Systems Therapy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.01 - To introduce concepts of contemporary family systems theory and to contrast it with classic systems theory; NATIONAL STANDARDS: United States - CACREP 1a - history and philosophy of the counseling profession and its specialty areas United States - EPAS 4b - Apply critical thinking to engage in analysis of quantitative and qualitative research methods and research findings United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 8:15 AM DATE MODIFIED: 12/27/2016 2:08 AM 14. The rules for the alcoholic family, according to Claudia Black, are A. “every unhappy family is unhappy in its own way” B. “don’t talk, don’t trust, don’t feel” C. “one day at a time” D. “seek change slowly” ANSWER: B POINTS: 1 REFERENCES: Classic Family Systems Therapy / Focus on the Family QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.01 - To introduce concepts of contemporary family systems theory and to contrast it with classic systems theory; Copyright Cengage Learning. Powered by Cognero.

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NATIONAL STANDARDS: United States - CACREP 1a - history and philosophy of the counseling profession and its specialty areas United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 8:18 AM DATE MODIFIED: 12/27/2016 2:08 AM 15. An ecosystems framework relevant to the family A. views members in constant interaction.

B. is no longer accepted as a popular model.

C. focuses exclusively on the nuclear family.

D. is a predominant model in psychology today.

ANSWER: A POINTS: 1 REFERENCES: Modern Developments QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.03 - To present a new conceptualization of strengths-based family practice; NATIONAL STANDARDS: United States - CACREP 3a - multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

DATE CREATED: 12/26/2016 8:21 AM DATE MODIFIED: 12/27/2016 2:08 AM 16. According to the text, generalizations about family role traits—hero, scapegoat, etc.

A. are not empirically validated.

B. are not based on personal observation.

C. are rarely helpful in engaging family members in systems work.

D. are refuted by Wegscheider and Black.

ANSWER: A POINTS: 1 REFERENCES: Wegscheider’s Role Theory QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.01 - To introduce concepts of contemporary family systems theory and to contrast it with classic systems theory; NATIONAL STANDARDS: United States - CACREP 1a - history and philosophy of the counseling profession and its specialty areas Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

United States - EPAS 4b - Apply critical thinking to engage in analysis of quantitative and qualitative research methods and research findings United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

12/26/2016 8:22 AM 12/27/2016 2:08 AM

17. In her role theory, Wegscheider (1981) introduced the role of_____ to represent a significant role in the drug dependent family dynamics.

A. the family manager B. the scapegoat C. the taskmaster D. the family monitor ANSWER: B POINTS: 1 REFERENCES: Wegscheider’s Role Theory QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.02 - To review the history of counseling families with alcoholic and other addicted family members; NATIONAL STANDARDS: United States - CACREP 1a - history and philosophy of the counseling profession and its specialty areas United States - EPAS 4b - Apply critical thinking to engage in analysis of quantitative and qualitative research methods and research findings United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 8:25 AM DATE MODIFIED: 12/27/2016 2:08 AM 18. According to Wegscheider, a high risk for marrying an alcoholic faces the family A. hero B. scapegoat C. lost child D. mascot ANSWER: A POINTS: 1 REFERENCES: Wegscheider’s Role Theory QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.02 - To review the history of counseling families with alcoholic and other addicted family members; Copyright Cengage Learning. Powered by Cognero.

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NATIONAL STANDARDS: United States - CACREP 3g United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 8:27 AM DATE MODIFIED: 12/27/2016 2:08 AM 19. For the role of partner or spouse of the addict/alcoholic, the present text recommends use of the term A. codependent.

B. family manager.

C. chief enabler.

D. scapegoat.

ANSWER: B POINTS: 1 REFERENCES: Wegscheider’s Role Theory QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.01 - To introduce concepts of contemporary family systems theory and to contrast it with classic systems theory; NATIONAL STANDARDS: United States - CACREP 3h United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standard 13 DATE CREATED: 12/26/2016 8:29 AM DATE MODIFIED: 12/27/2016 2:08 AM 20. Children who grew up in addict/alcoholic homes often develop coping mechanisms that may be useful later. The hero, for example, more than other siblings learns to ____________.

A. assume responsibility early B. make friends easily C. have a great imagination D. become peer group oriented.

ANSWER: A POINTS: 1 REFERENCES: Wegscheider’s Role Theory QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.01 - To introduce concepts of contemporary family systems theory and to contrast it with classic systems theory; NATIONAL STANDARDS: United States - CACREP 3c United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standard 1 DATE CREATED: 12/26/2016 8:31 AM Copyright Cengage Learning. Powered by Cognero.

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21. The Community Reinforcement and Family Training Approach (CRAFT) A. is derived from teachings from Al-Anon.

B. teaches family members how to provide positive feedback to the addicted member.

C. helps family members dissociate from the addicted member in order to become independent.

D. is geared toward the criminal justice system.

ANSWER: B POINTS: 1 REFERENCES: Some Modern Treatment Models QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.07 - To describe effective exercises that can be used in family programming.

NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 1 DATE CREATED: 12/26/2016 8:35 AM DATE MODIFIED: 12/27/2016 2:08 AM 22. Network therapy is a disease-based approach to reinforce social networks and includes treatment that involves ________________.

A. family members without the presence of the client.

B. the client out of the presence of family members.

C. the therapist, family members, and client.

D. music therapy.

ANSWER: C POINTS: 1 REFERENCES: Some Modern Treatment Models QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.07 - To describe effective exercises that can be used in family programming.

NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 8:36 AM DATE MODIFIED: 12/27/2016 2:08 AM

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23. Family group conferencing used in child welfare programming A. has roots in indigenous customs.

B. was borrowed from a British innovation.

C. is distinctly different from African kinship care.

D. is rarely used outside of New Zealand.

ANSWER: A POINTS: 1 REFERENCES: Some Modern Treatment Models QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.07 - To describe effective exercises that can be used in family programming.

NATIONAL STANDARDS: United States - CACREP 5g - Essential interviewing, counseling, and case conceptualization skills United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standard 1 DATE CREATED: 12/26/2016 8:38 AM DATE MODIFIED: 12/27/2016 2:08 AM 24. McGoldrick et al. in their book on ethnic families bring our attention to A. the fact that all families are alike B. differences in the definition of what a family is.

C. the need for great assimilation of foreign groups into the dominant culture.

D. the risks of international child adoption regarding substance use.

ANSWER: B POINTS: 1 REFERENCES: Some Modern Treatment Models QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.07 - To describe effective exercises that can be used in family programming.

NATIONAL STANDARDS: United States - CACREP 2d - The impact of heritage, attitudes, beliefs, understandings, and acculturative experiences on an individual’s views of others United States - EPAS 7d - EPAS 7b United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 8:40 AM DATE MODIFIED: 12/27/2016 2:08 AM 25. Because Al-Anon and the family counseling program may differ in their approaches to family members, the best response, according to the text is to A. recommend Al-Anon without any reservations.

B. recommend against involvement in 12 Step programs.

C. prepare family members for possible contradictions in models.

D. attend Al-Anon meetings along with the clients to help Al-Anon change with the times.

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ANSWER: C POINTS: 1 REFERENCES: Stages of Change and Family Treatment / Precontemplation QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.04 - To show how the stages-of-change model can be adapted for work with families on the journey from precontemplation through maintenance; NATIONAL STANDARDS: United States - CACREP 1b United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 8:42 AM DATE MODIFIED: 12/27/2016 2:08 AM 26. Harm reduction expert Alan Marlatt, regarding a formal Intervention, states that it A. can be effective only if done soon enough.

B. is an important part of increasing client motivation.

C. should not be done under any circumstances.

D. is of proven effectiveness.

ANSWER: C POINTS: 1 REFERENCES: Stages of Change and Family Treatment / Action QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.04 - To show how the stages-of-change model can be adapted for work with families on the journey from precontemplation through maintenance; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 1a - Make ethical decisions by applying the standards of the NASW Code of Ethics, relevant laws and regulations, models for ethical decision-making, ethical conduct of research, and additional codes of ethics as appropriate to context United States - NOHS Standard 4 - If it is suspected that danger or harm may occur to the client or to others as a result of a client’s behavior, the human service professional acts in an appropriate and professional manner to protect the safety of those individuals. This may involve, but is not limited to, seeking consultation, supervision, and/or breaking the confidentiality of the relationship.

DATE CREATED: 12/26/2016 8:44 AM DATE MODIFIED: 12/27/2016 2:08 AM 27. Mueser et al. recommend for working with families with a member who has a co-occurring disorder, that therapists A. focus on getting the addicted client sober above all else.

B. recommend against AA attendance for the addicted client.

C. not give substance use priority; wait for the family member to bring it up.

D. focus exclusively on the mental disorder at the beginning.

ANSWER: C POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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REFERENCES: Work With Families In Which There Are Co-Occurring Disorder QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.05 - To describe the formal intervention process with family members; NATIONAL STANDARDS: United States - CACREP 5h United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 8:45 AM DATE MODIFIED: 12/27/2016 2:08 AM 28. In situations of domestic violence, the counselor is advised by the text authors to A. refer the couple to conjoint counseling.

B. refer the violent partner to a batterers’ group.

C. not mention domestic violence in screening; let the partner bring it up later.

D. if children are endangered, keep it confidential so not to risk loss of trust.

ANSWER: B POINTS: 1 REFERENCES: In Situations of Domestic Violence QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.05 - To describe the formal intervention process with family members; NATIONAL STANDARDS: United States - CACREP 5k United States - EPAS 8d - Development of outcome measures for counseling programs United States - NOHS Standard 4 - If it is suspected that danger or harm may occur to the client or to others as a result of a client’s behavior, the human service professional acts in an appropriate and professional manner to protect the safety of those individuals. This may involve, but is not limited to, seeking consultation, supervision, and/or breaking the confidentiality of the relationship.

DATE CREATED: 12/26/2016 8:47 AM DATE MODIFIED: 12/27/2016 2:08 AM 29. Key themes of African American families of which the counselor should be aware are all except: A. a network of extended family ties.

B. reciprocity in providing aid.

C. the personal connection between family and therapist.

D. non-reciprocity regarding gift-giving.

ANSWER: D POINTS: 1 REFERENCES: Cultural Considerations / Work with African American Families QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.04 - To show how the stages-of-change model can be adapted for work with families on the journey from precontemplation through maintenance; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

diverse groups nationally and internationally United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

12/26/2016 8:50 AM 12/27/2016 2:08 AM

30. The family hero, according to Wegscheider, often grows up to enter the helping professions.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Wegscheider’s Role Theory QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.02 - To review the history of counseling families with alcoholic and other addicted family members; NATIONAL STANDARDS: United States - CACREP 3a - multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 1 DATE CREATED: 12/26/2016 8:51 AM DATE MODIFIED: 12/27/2016 2:08 AM 31. The CRAFT approach to family treatment and Al-Anon’s are somewhat contradictory.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Some Modern Treatment Models QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.04 - To show how the stages-of-change model can be adapted for work with families on the journey from precontemplation through maintenance; NATIONAL STANDARDS: United States - CACREP 5a - Theories and models of counseling United States - EPAS 4b - Apply critical thinking to engage in analysis of quantitative and qualitative research methods and research findings United States - NOHS Standard 29 DATE CREATED: 12/26/2016 8:53 AM DATE MODIFIED: 12/27/2016 2:08 AM 32. It is never too early to begin preparing family members of alcoholics/addicts for the changes they need to make.

A. True Copyright Cengage Learning. Powered by Cognero.

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B. False ANSWER: True POINTS: 1 REFERENCES: Stages of Change and Family Treatment / Precontemplation QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.04 - To show how the stages-of-change model can be adapted for work with families on the journey from precontemplation through maintenance; NATIONAL STANDARDS: United States - CACREP 5c United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 8:54 AM DATE MODIFIED: 12/27/2016 2:08 AM 33. If the client is unmotivated for change, family counseling is premature.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: Stages of Change and Family Treatment / Precontemplation QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.04 - To show how the stages-of-change model can be adapted for work with families on the journey from precontemplation through maintenance; NATIONAL STANDARDS: United States - CACREP 5g - Essential interviewing, counseling, and case conceptualization skills United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 8:55 AM DATE MODIFIED: 12/27/2016 2:08 AM 34. Male partners of alcoholics are less likely to join support groups than female partners.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Classic Family Systems Therapy / Focus on the Family QUESTION TYPE: True / False Copyright Cengage Learning. Powered by Cognero.

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HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.10.01 - To introduce concepts of contemporary family systems theory and to contrast it with classic systems theory; NATIONAL STANDARDS: United States - CACREP 5b United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 8:57 AM DATE MODIFIED: 12/28/2016 3:37 AM

Copyright Cengage Learning. Powered by Cognero.

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Chapter_11__Ethnicity__Culture_and_the_Socioeconomic_Determinants_of_Addiction 1. Explain the Recovery Management model and why it is important in addressing issues that arise because race, ethnicity, culture, and class.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Introduction 434 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2b - Social and Cultural Diversity - Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy.

United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 9:04 AM DATE MODIFIED: 12/27/2016 2:14 AM 2. Discuss why it is that although race is not a biological category, it continues to be widely used.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Introduction 436-437 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.11.03 - To introduce race as a social concept, not as a biological category; NATIONAL STANDARDS: United States - CACREP 2d - The impact of heritage, attitudes, beliefs, understandings, and acculturative experiences on an individual’s views of others United States - EPAS 5a - Theories and models of counseling United States - NOHS Standard 14 DATE CREATED: 12/26/2016 9:06 AM DATE MODIFIED: 12/27/2016 2:14 AM 3. Explain how social class affects the so-called attributes of ethnicity or culture.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Introduction 437 QUESTION TYPE: Essay Copyright Cengage Learning. Powered by Cognero.

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HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.11.03 - To introduce race as a social concept, not as a biological category; NATIONAL STANDARDS: United States - CACREP 2d - The impact of heritage, attitudes, beliefs, understandings, and acculturative experiences on an individual’s views of others United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 14 DATE CREATED: 12/26/2016 9:07 AM DATE MODIFIED: 12/27/2016 2:14 AM 4. What does the story of Becky and Monique tell us about the path to addiction, the agent of addiction (drug used) and recovery options?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: 432 Introduction QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2e - Social and Cultural Diversity - The effects of power and privilege for counselors and clients.

United States - EPAS 3a - Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels.

United States - NOHS Standard 16 - Human service professionals advocate for social justice and seek to eliminate oppression. They raise awareness of underserved population in their communities and with the legislative system.

DATE CREATED: 12/26/2016 10:15 PM DATE MODIFIED: 12/27/2016 2:14 AM 5. Compare variations (for example immigration history) within various Asian American groups relevant to substance misuse.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Asian Americans and Native Hawaiian/Pacific Islanders 441-443 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

diverse groups nationally and internationally United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

12/26/2016 10:18 PM 12/27/2016 2:14 AM

6. Which group has the highest poverty rate for families?

A. Alaskan Natives B. Asian Americans C. African Americans D. Native Americans ANSWER: D POINTS: 1 REFERENCES: American Indians and Alaskan Natives / Sociocultural Factors QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 16 - Human service professionals advocate for social justice and seek to eliminate oppression. They raise awareness of underserved population in their communities and with the legislative system.

DATE CREATED: 12/26/2016 10:22 PM DATE MODIFIED: 12/27/2016 2:14 AM 7. Even though Asian Americans in general have a higher educational status and higher income status than other minorities, it is misleading to describe them as a “model minority” because A. they have a higher rate of alcoholism and drug addiction B. their low treatment rate may be the result of the lack of culturally relevant services C. their addiction rates have consistently been under-reported in the prevalence studies D. they uniformly lack the enzyme aldehyde dehydrogenase ANSWER: C POINTS: 1 REFERENCES: Asian American and Native Hawaiian/Pacific Islanders / Prevalence Patterns QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Copyright Cengage Learning. Powered by Cognero.

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Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2b - Social and Cultural Diversity - Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy.

United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 10:24 PM DATE MODIFIED: 12/27/2016 2:14 AM 8. Among current Native American adults who drink alcohol, the prevalence rate A. varies a great deal B. is the same as the general population C. is lower than the general population D. has never been measured ANSWER: A POINTS: 1 REFERENCES: American Indians and Alaskan Natives / Prevalence Patterns QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 10:27 PM DATE MODIFIED: 12/27/2016 2:14 AM 9. Which factor is not considered a hallmark of effective treatment with Asians with substance abuse problems?

A. screening with culturally sensitive instruments at community events B. culturally competent staff who speak the language of the client C. use of Narrative therapy as an intervention D. use of Motivational interviewing as an intervention ANSWER: C POINTS: 1 REFERENCES: Asian American and Native Hawaiian/Pacific Islanders / Culturally Based Services QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; ADTR.VANW.18.11.05 - To encourage professionals to develop cultural competencies to support client strengths in diverse settings.

NATIONAL STANDARDS: United States - CACREP .2c - Social and Cultural Diversity—Multicultural counseling competencies.

United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 10:30 PM DATE MODIFIED: 12/27/2016 2:14 AM 10. Protective factors among young, low-income, Mexican American women include A. the breakdown of the family of origin and extended kinship networks B. the survival of poverty C. an attitude of fatalism D. the responsibility of providing family connection and care of the children ANSWER: D POINTS: 1 REFERENCES: Hispanics / Cultural Factors QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 10:35 PM DATE MODIFIED: 12/27/2016 2:14 AM 11. Among Native Americans and Alaska Natives, which of the following is not a factor in varied drinking and drug use rates?

A. tribe B. rural C. urban D. intelligence ANSWER: D Copyright Cengage Learning. Powered by Cognero.

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POINTS: 1 REFERENCES: American Indians and Alaskan Natives / Prevalence Patterns QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 10:41 PM DATE MODIFIED: 12/27/2016 2:14 AM 12. People who identified themselves as “Asian American” include all groups except: A. Filipinos B. Vietnamese C. Hmong D. Samoans ANSWER: D POINTS: 1 REFERENCES: Asian American and Native Hawaiian/Pacific Islanders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.03 - To introduce race as a social concept, not as a biological category; NATIONAL STANDARDS: United States - CACREP2d United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 10:43 PM DATE MODIFIED: 12/27/2016 2:14 AM 13. Which factor does not account for the low rate of alcohol/drug misuse for the Asian/Pacific Islander group?

A. national database surveys have ignored this group and consistently put Asian/Pacific Islanders in the category of “Other” B. the lack of culturally relevant services which reduces the treatment rate C. methodological weaknesses in the research that has resulted in an underestimation of the levels of substance misuse and dependency D. Asians are the “model minority” without many addiction problems Copyright Cengage Learning. Powered by Cognero.

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ANSWER: D POINTS: 1 REFERENCES: Asian American and Native Hawaiian/Pacific Islanders / Prevalence Patterns QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2d - The impact of heritage, attitudes, beliefs, understandings, and acculturative experiences on an individual’s views of others United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 14 DATE CREATED: 12/26/2016 10:46 PM DATE MODIFIED: 12/27/2016 2:14 AM 14. The most recent median income figures (United States Census, 2015b) indicate that_________ households have the highest median income of any racial group, that is, $100,547.

A. Latino B. Indian Americans C. African American D. non-Hispanic white ANSWER: B POINTS: 1 REFERENCES: Asian American and Native Hawaiian/Pacific Islanders / Sociocultural Factors QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.02 - To show how socioeconomic determinants affect the path of addiction and recovery; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 10:48 PM DATE MODIFIED: 12/27/2016 2:14 AM 15. Compared to the average national poverty rate of 15.9%, the average poverty rate for American Indians and Alaskan Natives is A. 29.2% B. 20.1% C. 13% D. 39.2% Copyright Cengage Learning. Powered by Cognero.

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ANSWER: A POINTS: 1 REFERENCES: American Indians and Alaskan Natives / Sociocultural Factors QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 16 - Human service professionals advocate for social justice and seek to eliminate oppression. They raise awareness of underserved population in their communities and with the legislative system.

DATE CREATED: 12/26/2016 10:52 PM DATE MODIFIED: 12/27/2016 2:14 AM 16. As related by Raymond Slick, an American Indian, sobriety is the traditional way. His philosophy is called A. The Red Road B. ancestor worship C. tribal essence D. spiritual recovery ANSWER: A POINTS: 1 REFERENCES: American Indians and Alaskan Natives / Spiritual and Cultural Values QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.05 - To encourage professionals to develop cultural competencies to support client strengths in diverse settings.

NATIONAL STANDARDS: United States - CACREP 2b - Social and Cultural Diversity - Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy.

United States - EPAS 2b - Present themselves as learners and engage clients and constituencies as experts of their own experiences United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 10:59 PM DATE MODIFIED: 12/27/2016 2:14 AM 17. The term “Hispanic” or “Latino” describes a population that includes the following subgroups except A. Mexican Americans B. Cuban Americans C. Central Americans D. Jamaicans Copyright Cengage Learning. Powered by Cognero.

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ANSWER: D POINTS: 1 REFERENCES: Hispanics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.03 - To introduce race as a social concept, not as a biological category; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 11:01 PM DATE MODIFIED: 12/27/2016 2:14 AM 18. Results from the National Survey on Drug Use and Health (SAMHSA, 2014a) indicate that among persons aged 12 or older, the rate of substance abuse was highest among A. American Indians and Alaska Natives B. Asians C. Latinos D. African Americans ANSWER: A POINTS: 1 REFERENCES: American Indians and Alaskan Natives / Prevalence Patterns QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 11:03 PM DATE MODIFIED: 12/27/2016 2:14 AM 19. The term “historical trauma” was originally used by A. Maria Yellow Horse Brave Heart.

B. Ja and Aoki.

C. van Wormer.

D. Lee and Mock Copyright Cengage Learning. Powered by Cognero.

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ANSWER: A POINTS: 1 REFERENCES: American Indians and Alaskan Natives / Sociocultural Factors QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2b - Social and Cultural Diversity - Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy.

United States - EPAS 2b - Present themselves as learners and engage clients and constituencies as experts of their own experiences United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 11:07 PM DATE MODIFIED: 12/27/2016 2:14 AM 20. The use of traditional cultural and spiritual practices in Native American treatment A. is the only effective method of treatment with this population B. needs more systematic evaluation before we can assess the efficacy of this approach C. is not at all effective with this population ANSWER: B POINTS: 1 REFERENCES: American Indians and Alaskan Natives / Treatment Issues QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.05 - To encourage professionals to develop cultural competencies to support client strengths in diverse settings.

NATIONAL STANDARDS: United States - CACREP 2g - Social and Cultural Diversity - The impact of spiritual beliefs on clients’ and counselors’ worldviews.

United States - EPAS 2b - Present themselves as learners and engage clients and constituencies as experts of their own experiences United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 11:08 PM DATE MODIFIED: 12/27/2016 2:14 AM 21. The concept of culture A. is not difficult to define B. refers to learned values, behaviors, and beliefs that are shared by other group members C. does not impact our beliefs about the use of alcohol, drugs, and gambling D. is never a barrier to receiving professional help with addiction problems Copyright Cengage Learning. Powered by Cognero.

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ANSWER: B POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2b - Social and Cultural Diversity - Theories and models of multicultural counseling, cultural identity development, and social justice and advocacy.

United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 11:10 PM DATE MODIFIED: 12/27/2016 2:14 AM 22. A skill that is not particularly helpful for counselors in developing culturally sensitive practice is: A. networking B. advocacy C. confrontation D. building rapport ANSWER: C POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.05 - To encourage professionals to develop cultural competencies to support client strengths in diverse settings.

NATIONAL STANDARDS: United States - CACREP .2c - Social and Cultural Diversity—Multicultural counseling competencies.

United States - EPAS 6b - Use empathy, reflection, and interpersonal skills to effectively engage diverse clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 11:11 PM DATE MODIFIED: 12/27/2016 2:14 AM 23. Gambling in the U.S. expanded rapidly since A. the Supreme Court ruling of 1975 B. the passage of the 1988 Indian Gaming Regulatory Act Copyright Cengage Learning. Powered by Cognero.

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C. the development of electronic Keno games D. the Great Lakes vs. Prescott case was decided ANSWER: B POINTS: 1 REFERENCES: American Indians and Alaskan Natives / Gambling Problems 449 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 5a - Theories and models of counseling United States - NOHS Standard 12 - Human service professionals are aware of local, state, and federal laws. They advocate for change in regulations and statutes when such legislation conflicts with ethical guidelines and/or client rights. Where laws are harmful to individuals, groups, or communities, human service professionals consider the conflict between the values of obeying the law and the values of serving people and may decide to initiate social action.

DATE CREATED: 12/26/2016 11:14 PM DATE MODIFIED: 12/27/2016 2:14 AM 24. The incidence of problem gambling is higher in A. people of low socioeconomic status B. whites than among racial and ethnic minorities C. rural rather than urban residents D. southern states than among northern states ANSWER: A POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.02 - To show how socioeconomic determinants affect the path of addiction and recovery; ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 3a - Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels.

United States - NOHS Standard 14 DATE CREATED: 12/26/2016 11:18 PM DATE MODIFIED: 12/27/2016 2:14 AM 25. An intervention approach, if it is truly effective, will work well universally.

A. True Copyright Cengage Learning. Powered by Cognero.

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B. False ANSWER: False POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.05 - To encourage professionals to develop cultural competencies to support client strengths in diverse settings.

NATIONAL STANDARDS: United States - CACREP 5a - Theories and models of counseling United States - EPAS 8b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in interventions with clients and constituencies United States - NOHS DATE CREATED: 12/26/2016 11:20 PM DATE MODIFIED: 12/27/2016 2:14 AM 26. “The myth of the ‘model minority’” is a term applied to Native Hawaiians.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: American Indians and Alaskan Natives QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 5b - A systems approach to conceptualizing clients United States - NOHS Standard 14 DATE CREATED: 12/26/2016 11:21 PM DATE MODIFIED: 12/27/2016 2:14 AM 27. Data from school surveys indicate that drug use is higher among Asian youth than among other adolescent groups.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: Asian American and Native Hawaiian/Pacific Islanders / Prevalence Patterns QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

12/26/2016 11:22 PM 12/27/2016 2:14 AM

28. The “immigrant paradox” is when foreign-born immigrant family members are found to have few problems than their U.S. born children who are moving toward acculturation.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Hispanics / Cultural Factors QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.04 - To discuss how culture, class, and socioeconomic determinants have influenced addiction and recovery in various cultural groups: Hispanic (Latino) Americans, African Americans, American Indians and Alaska Natives, and Asian Americans and Pacific Islanders; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 2a - Apply and communicate understanding of the importance of diversity and difference in shaping life experiences in practice at the micro, mezzo, and macro levels United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 11:24 PM DATE MODIFIED: 12/27/2016 2:14 AM 29. Most drug and alcohol treatment programs for Hispanic clients employ cultural responsiveness in their programming.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: Hispanics / Treatment Issues QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.11.05 - To encourage professionals to develop cultural competencies to support client strengths in diverse settings.

NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 5a - Theories and models of counseling United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

12/26/2016 11:25 PM 12/27/2016 2:14 AM

Copyright Cengage Learning. Powered by Cognero.

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Chapter_12_Gender_and_Sexual_Orientation_Differences 1. Justify placing women in a special treatment discussion group restricted to women.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Gender Differences – Treatment Implications QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.12.01 - To introduce the idea of gender as a social concept that influences a person’s ability to resist addiction, seek and find treatment, and maintain recovery; NATIONAL STANDARDS: United States - CACREP 6a, 6b United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 1 DATE CREATED: 12/26/2016 10:05 PM DATE MODIFIED: 12/26/2016 11:14 PM 2. What are the physiological gender differences with regard to alcoholism?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Gender Differences – Biological Differences by Gender QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.12.02 - To discuss gender and sexual differences in the prevalence of types of addiction, partner relationships, parenting, crime and punishment, violence and trauma, psychological and biological differences; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and societal level when appropriate to the goals of the relationship.

DATE CREATED: 12/26/2016 10:15 PM DATE MODIFIED: 12/26/2016 11:14 PM 3. Why has the female prison population in the United States nearly doubled in the last 10 years?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Gender Differences – Crime and Punishment QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.12.02 - To discuss gender and sexual differences in the prevalence of types of addiction, partner relationships, parenting, crime and punishment, violence and trauma, psychological and biological differences; Copyright Cengage Learning. Powered by Cognero.

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NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 13 and 14 DATE CREATED: 12/26/2016 10:16 PM DATE MODIFIED: 12/26/2016 11:14 PM 4. Briefly explain three “do’s” when working with transgender individuals.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Substance Abuse Counseling and Sexual Orientation – Transgender QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.12.03 - To explore the implications of gender and sexual differences on addiction treatment.

NATIONAL STANDARDS: United States - CACREP 5j - Evidence-based counseling strategies and techniques for prevention and intervention United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 10:18 PM DATE MODIFIED: 12/26/2016 11:14 PM 5. According to the Global Status Report on Alcohol, the male/female ratio of heavy episodic drinking, which country as having the largest gap between males and females?

A. Canada B. Germany C. Italy D. Mexico ANSWER: D POINTS: 1 REFERENCES: Gender Differences - Gender Differences in Prevalence 211 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.02 - To discuss gender and sexual differences in the prevalence of types of addiction, partner relationships, parenting, crime and punishment, violence and trauma, psychological and biological differences; NATIONAL STANDARDS: United States - CACREP 2a - Multicultural and pluralistic characteristics within and among diverse groups nationally and internationally United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

United States - NOHS Standard 14 12/26/2016 10:21 PM 12/26/2016 11:14 PM

6. How are women as a group oppressed in the dominant culture of the United States?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Gender Differences – Sociocultural Gender Differences QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.12.02 - To discuss gender and sexual differences in the prevalence of types of addiction, partner relationships, parenting, crime and punishment, violence and trauma, psychological and biological differences; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 13 and 14 DATE CREATED: 12/26/2016 10:23 PM DATE MODIFIED: 12/26/2016 11:14 PM 7. Compulsive gambling surveys consistently report that ______ are the group most likely to experience pathological gambling problems.

A. men B. women C. homosexuals D. heterosexuals ANSWER: A POINTS: 1 REFERENCES: Gender Differences - Gender Differences in Prevalence QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.02 - To discuss gender and sexual differences in the prevalence of types of addiction, partner relationships, parenting, crime and punishment, violence and trauma, psychological and biological differences; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 10:27 PM DATE MODIFIED: 12/26/2016 11:14 PM Copyright Cengage Learning. Powered by Cognero.

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8. Problem gambling helplines are now reporting that A. the percentage of women calling helplines is decreasing.

B. men are more likely than women to be pathological gamblers.

C. women with gambling problems tend to be early onset.

D. the percentage of women seeking help with gambling problems has been increasing.

ANSWER: D POINTS: 1 REFERENCES: Gender Differences - Gender Differences in Prevalence QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.02 - To discuss gender and sexual differences in the prevalence of types of addiction, partner relationships, parenting, crime and punishment, violence and trauma, psychological and biological differences; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 10:28 PM DATE MODIFIED: 12/26/2016 11:14 PM 9. In the recent past, women who were identified as alcoholics, drug addicts, or compulsive gamblers were considered A. not especially deviant B. promiscuous C. mentally ill D. repressed ANSWER: B POINTS: 1 REFERENCES: Gender Differences - Sociocultural Gender Differences QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.01 - To introduce the idea of gender as a social concept that influences a person’s ability to resist addiction, seek and find treatment, and maintain recovery; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 10 - Human service professionals provide services without discrimination or preference in regards to age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressed groups.

DATE CREATED: 12/26/2016 10:35 PM DATE MODIFIED: 12/26/2016 11:14 PM 10. Which of the following is a not a reason why women are less likely than men to enter treatment?

A. lack of family support Copyright Cengage Learning. Powered by Cognero.

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B. obligation of child-rearing C. lack of gender specific treatment programs D. partner support ANSWER: D POINTS: 1 REFERENCES: Gender Differences - Sociocultural Gender Differences QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.01 - To introduce the idea of gender as a social concept that influences a person’s ability to resist addiction, seek and find treatment, and maintain recovery; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 10:38 PM DATE MODIFIED: 12/26/2016 11:14 PM 11. Women-specific treatment programs are more likely to provide the following services except: A. children’s activities B. assistance in locating housing C. anger management D. residential beds for client’s children ANSWER: D POINTS: 1 REFERENCES: Gender Differences - Sociocultural Gender Differences - Parenting QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.01 - To introduce the idea of gender as a social concept that influences a person’s ability to resist addiction, seek and find treatment, and maintain recovery; NATIONAL STANDARDS: United States - CACREP 5k United States - EPAS 5b; 8d United States - NOHS 15 DATE CREATED: 12/26/2016 10:40 PM DATE MODIFIED: 12/26/2016 11:14 PM 12. South Carolina and Alabama remain the only states where: A. a woman can be criminally prosecuted for using illicit drugs while pregnant.

B. there is free treatment on demand C. guaranteed substance abuse treatment availability.

D. established a state wide system of drug courts.

ANSWER: A POINTS: 1 REFERENCES: Gender Differences - Sociocultural Gender Differences – Crime and Punishment Copyright Cengage Learning. Powered by Cognero.

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QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.02 - To discuss gender and sexual differences in the prevalence of types of addiction, partner relationships, parenting, crime and punishment, violence and trauma, psychological and biological differences; NATIONAL STANDARDS: United States - CACREP 1i - Professional Counseling Orientation and Ethical Practice Ethical standards of professional counseling organizations and credentialing bodies, and applications of ethical and legal considerations in professional counseling.

United States - EPAS 5a - Theories and models of counseling United States - NOHS Standard 10 - Human service professionals provide services without discrimination or preference in regards to age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressed groups.

DATE CREATED: 12/26/2016 10:42 PM DATE MODIFIED: 12/26/2016 11:14 PM 13. What percentage of female federal inmates were convicted of a drug violation.

A. 48% B. 18% C. 58.8% D. 98% ANSWER: C POINTS: 1 REFERENCES: Gender Differences - Sociocultural Gender Differences – Crime and Punishment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.02 - To discuss gender and sexual differences in the prevalence of types of addiction, partner relationships, parenting, crime and punishment, violence and trauma, psychological and biological differences; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 10:45 PM DATE MODIFIED: 12/26/2016 11:14 PM 14. Which of the following is the strongest predictor of family violence?

A. cultural approval of violence B. level of alcohol abuse C. level of gambling problems D. level of drug abuse ANSWER: A POINTS: 1 REFERENCES: Gender Differences - Sociocultural Gender Differences – Violence and Trauma QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.02 - To discuss gender and sexual differences in the prevalence of types of addiction, partner relationships, parenting, crime and punishment, violence and trauma, psychological and biological differences; NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 13 DATE CREATED: 12/26/2016 10:47 PM DATE MODIFIED: 12/26/2016 11:14 PM 15. Compared to men, women who have problems with substance misuse A. often have do not have a history of sexual abuse from childhood.

B. do not suffer from low self-esteem.

C. are less likely to have a serious mental disorder.

D. are more likely to have a serious mental disorder ANSWER: D POINTS: 1 REFERENCES: Gender Differences - Psychological Differences by Gender QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.02 - To discuss gender and sexual differences in the prevalence of types of addiction, partner relationships, parenting, crime and punishment, violence and trauma, psychological and biological differences; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 10:50 PM DATE MODIFIED: 12/26/2016 11:14 PM 16. Which of the following areas are risks for lesbian and bi-sexual women who are not open about their sexual orientation and who lack social support?

A. self-harm B. smoking C. gambling D. alcohol abuse ANSWER: A POINTS: 1 REFERENCES: Substance Abuse Counseling and Sexual Orientation - Risk Factors for Substance Use Lesbians and Substance Misuse QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.03 - To explore the implications of gender and sexual differences on addiction treatment.

NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 26 - Human service professionals seek the training, experience, education, and supervision necessary to ensure their effectiveness in working with culturally diverse individuals based on age, ethnicity, culture, race, ability, gender, language preference, religion, sexual orientation, socioeconomic status, nationality, or other historically oppressive groups. In addition, they will strive to increase their competence in methods which are known to be the best fit for the population(s) with whom they work.

DATE CREATED: 12/26/2016 10:52 PM DATE MODIFIED: 12/26/2016 11:14 PM 17. The highest percentage of teenagers who actually attempt or commit suicide are those struggling with ___________.

A. eating disorder B. sexual orientation issues C. internet addictions D. substance abuse problems ANSWER: B POINTS: 1 REFERENCES: Substance Abuse Counseling and Sexual Orientation - Gay Males and Substance Misuse QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.03 - To explore the implications of gender and sexual differences on addiction treatment.

NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 10:59 PM DATE MODIFIED: 12/26/2016 11:14 PM 18. Of all the sexual minorities, which group is the most subject to violent assault and employment discrimination?

A. bi-sexuals B. lesbians C. effeminate gay men D. transgendered persons ANSWER: D POINTS: 1 REFERENCES: Substance Abuse Counseling and Sexual Orientation - Transgender Individuals QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.03 - To explore the implications of gender and sexual differences on Copyright Cengage Learning. Powered by Cognero.

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addiction treatment.

NATIONAL STANDARDS: United States - CACREP 3f United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 11:01 PM DATE MODIFIED: 12/26/2016 11:14 PM 19. PFLAG as an organization A. is a self-help but not advocacy group.

B. is open to membership of both sexual minorities as well as allies and families of gays and lesbians.

C. is open to families and friends of gays and lesbians but discourages gays and lesbians from attending.

D. is an organization for gays and lesbians to demonstrate patriotism ANSWER: B POINTS: 1 REFERENCES: Substance Abuse Counseling and Sexual Orientation - Treatment Issues QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.03 - To explore the implications of gender and sexual differences on addiction treatment.

NATIONAL STANDARDS: United States - CACREP 5k United States - EPAS 8c - Needs assessments United States - NOHS Standard 29 DATE CREATED: 12/26/2016 11:05 PM DATE MODIFIED: 12/26/2016 11:14 PM 20. A recommended way to build trust with gay and lesbian clients (according to the text) is to: A. post a Safe Place symbol on a pink triangle on the office door B. let them know right away that you are heterosexual.

C. post a “I’m straight but not narrow” slogan on the office door.

D. keep homosexuality out of the conversation.

ANSWER: A POINTS: 1 REFERENCES: Substance Abuse Counseling and Sexual Orientation - Treatment Issues QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.03 - To explore the implications of gender and sexual differences on addiction treatment.

NATIONAL STANDARDS: United States - CACREP 5k United States - EPAS 8a - Critically choose and implement interventions to achieve practice goals and enhance capacities of clients and constituencies United States - NOHS Standard 31 - Human service professionals continually seek out new and effective approaches to enhance their professional abilities and use techniques that are conceptually or evidence based. When practicing techniques that are experimental or new, they inform clients of the status of such techniques as well as the possible risks.

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12/26/2016 11:07 PM 12/26/2016 11:14 PM

21. Women are more likely than men to have a spouse or partner who also is abusing substances.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Gender Differences - Gender Differences in Prevalence - Partner Relationships QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.01 - To introduce the idea of gender as a social concept that influences a person’s ability to resist addiction, seek and find treatment, and maintain recovery; NATIONAL STANDARDS: United States - CACREP 3d United States - EPAS 6a - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks to engage with clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 11:08 PM DATE MODIFIED: 12/26/2016 11:14 PM 22. Compared to men, women become intoxicated more readily even at the same body weight.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Gender Differences – Biological Differences by Gender QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.02 - To discuss gender and sexual differences in the prevalence of types of addiction, partner relationships, parenting, crime and punishment, violence and trauma, psychological and biological differences; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 11:09 PM DATE MODIFIED: 12/26/2016 11:14 PM 23. A transgendered person may be sexually attracted to males, females, or both.

A. True B. False Copyright Cengage Learning. Powered by Cognero.

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ANSWER: True POINTS: 1 REFERENCES: Substance Abuse Counseling and Sexual Orientation - Transgender Individuals QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.01 - To introduce the idea of gender as a social concept that influences a person’s ability to resist addiction, seek and find treatment, and maintain recovery; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7a - Collect and organize data, and apply critical thinking to interpret information from clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 11:11 PM DATE MODIFIED: 12/26/2016 11:14 PM 24. Bisexual identity is a separate identity in itself.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Substance Abuse Counseling and Sexual Orientation - Transgender Individuals - Bisexuality QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.03 - To explore the implications of gender and sexual differences on addiction treatment.

NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 11:12 PM DATE MODIFIED: 12/26/2016 11:14 PM 25. Men are much more likely to be pathological or problem gamblers than are women.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Gender Differences - Gender Differences in Prevalence QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.12.01 - To introduce the idea of gender as a social concept that influences a person’s ability to resist addiction, seek and find treatment, and maintain recovery; Copyright Cengage Learning. Powered by Cognero.

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NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 7b - Apply knowledge of human behavior and the social environment, person-in-environment, and other multidisciplinary theoretical frameworks in the analysis of assessment data from clients and constituencies United States - NOHS Standard 11 - Human service professionals are knowledgeable about their cultures and communities within which they practice. They are aware of multiculturalism in society and its impact on the community as well as individuals within the community. They respect the cultures and beliefs of individuals and groups.

DATE CREATED: 12/26/2016 11:13 PM DATE MODIFIED: 12/26/2016 11:14 PM

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Chapter_13__Public_Policy 1. Discuss the impact on families of the welfare reforms passed in the late 1990s.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: Welfare Reform 508-509 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.13.01 - To describe the contemporary social context of public policy that impacts addiction treatment and the individuals in need of it; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 5b - A systems approach to conceptualizing clients United States - NOHS Standard 14 DATE CREATED: 12/26/2016 11:20 PM DATE MODIFIED: 12/27/2016 12:14 AM 2. What are the unintended consequences of the mandatory minimum sentencing laws?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: 514-515 Mandatory Sentencing QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.13.03 - To provide examples of public policies that lead to social injustices, particularly for the poor, minority, and persons with substance use disorders; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 5b - A systems approach to conceptualizing clients United States - NOHS Standard 14 DATE CREATED: 12/26/2016 11:24 PM DATE MODIFIED: 12/27/2016 12:14 AM 3. What are the essential features of decriminalization?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: 523-524 Steps Toward Legalization of Marijuana QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.13.06 - To explore advantages and disadvantages of the legalization of marijuana, a trend that is fast gaining traction; NATIONAL STANDARDS: United States - CACREP 1e United States - EPAS 5c - Theories, models, and strategies for understanding and practicing consultation United States - NOHS Standard 13 DATE CREATED: 12/26/2016 11:27 PM Copyright Cengage Learning. Powered by Cognero.

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4. What legal complications can occur when the client refuses to sign the Consent-for-Release-of-Information form?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: The Law and Ethical Codes 511 QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.13.02 - To delineate professional concerns around laws, ethics, systems of payment, and managed care; NATIONAL STANDARDS: United States - CACREP 1i - Professional Counseling Orientation and Ethical Practice Ethical standards of professional counseling organizations and credentialing bodies, and applications of ethical and legal considerations in professional counseling.

United States - EPAS 1a - Make ethical decisions by applying the standards of the NASW Code of Ethics, relevant laws and regulations, models for ethical decision-making, ethical conduct of research, and additional codes of ethics as appropriate to context United States - NOHS Standard 3 - Human service professionals protect the client’s right to privacy and confidentiality except when such confidentiality would cause serious harm to the client or others, when agency guidelines state otherwise, or under other stated conditions (e.g., local, state, or federal laws). Human service professionals inform clients of the limits of confidentiality prior to the onset of the helping relationship.

DATE CREATED: 12/26/2016 11:28 PM DATE MODIFIED: 12/27/2016 12:14 AM 5. Why do current sentencing policies have a disproportionate effect on African Americans and Hispanics?

ANSWER: Answers May Vary POINTS: 1 REFERENCES: 514-515 Mandatory Sentencing QUESTION TYPE: Essay HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.13.03 - To provide examples of public policies that lead to social injustices, particularly for the poor, minority, and persons with substance use disorders; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 5a - Theories and models of counseling United States - NOHS Standard 14 DATE CREATED: 12/26/2016 11:30 PM DATE MODIFIED: 12/27/2016 12:14 AM 6. Discuss incarceration rates regarding the impact on women and their families. Consider the impact of conspiracy laws.

ANSWER: Answers May Vary POINTS: 1 REFERENCES: 515-516 Mandatory Sentencing QUESTION TYPE: Essay HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: ADTR.VANW.18.13.04 - To show the impact of the drug conspiracy laws on women and their children; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 5c - Theories, models, and strategies for understanding and practicing consultation United States - NOHS Standard 14 DATE CREATED: 12/26/2016 11:31 PM DATE MODIFIED: 12/27/2016 12:14 AM 7. The TANF guidelines that encourage states to deny cash assistance or food stamps to persons with recent drug felony convictions apply to A. men only B. women without children only C. single mothers only D. men and women ANSWER: D POINTS: 1 REFERENCES: Welfare Reform QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.03 - To provide examples of public policies that lead to social injustices, particularly for the poor, minority, and persons with substance use disorders; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 5a - Theories and models of counseling United States - NOHS Standard 16 - Human service professionals advocate for social justice and seek to eliminate oppression. They raise awareness of underserved population in their communities and with the legislative system.

DATE CREATED: 12/26/2016 11:33 PM DATE MODIFIED: 12/27/2016 12:14 AM 8. According to the text, a primary emphasis of managed care is on A. providing the most comprehensive service possible for patients.

B. cost containment.

C. educating the medical community on substance use issues.

D. public health issues.

ANSWER: B POINTS: 1 REFERENCES: Policies Pertaining to the Treatment Profession / Managed Care QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.02 - To delineate professional concerns around laws, ethics, systems of payment, and managed care; NATIONAL STANDARDS: United States - CACREP 1e United States - EPAS 5b - A systems approach to conceptualizing clients United States - NOHS Standard 15 - Human service professionals provide a mechanism for identifying client needs and assets, calling attention to these needs and assets, and assisting in planning and mobilizing to advocate for those needs at the individual, community, and Copyright Cengage Learning. Powered by Cognero.

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societal level when appropriate to the goals of the relationship.

12/26/2016 11:34 PM 12/27/2016 12:14 AM

9. The ________ is an approach designed to help mentally ill persons in trouble with the law stay out of jail by diverting them into treatment.

A. case-management B. mental health court movement C. drug courts D. polydrug addiction services ANSWER: B POINTS: 1 REFERENCES: Policies Pertaining to the Treatment Profession / Managed Care QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.05 - To describe the current state of major harm reduction efforts in the United States, such as methadone maintenance, needle exchange, and the use of naloxone to save lives from opioid overdose; NATIONAL STANDARDS: United States - CACREP 1e United States - EPAS 5a - Theories and models of counseling United States - NOHS Standard 12 - Human service professionals are aware of local, state, and federal laws. They advocate for change in regulations and statutes when such legislation conflicts with ethical guidelines and/or client rights. Where laws are harmful to individuals, groups, or communities, human service professionals consider the conflict between the values of obeying the law and the values of serving people and may decide to initiate social action.

DATE CREATED: 12/26/2016 11:36 PM DATE MODIFIED: 12/27/2016 12:14 AM 10. The legal case, Kerr v. Farrey determined A. that people with drug-related felonies could not receive welfare aid.

B. that involuntary commitment proceedings were legal.

C. that Narcotics Anonymous was a religious program, not a secular one.

D. that persons with substance addiction would no longer qualify for welfare aid.

ANSWER: C POINTS: 1 REFERENCES: Policies Pertaining to the Treatment Profession / Law and Ethical Codes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.02 - To delineate professional concerns around laws, ethics, systems of payment, and managed care; NATIONAL STANDARDS: United States - CACREP 1i - Professional Counseling Orientation and Ethical Practice Ethical standards of professional counseling organizations and credentialing bodies, and applications of ethical and legal considerations in professional counseling.

United States - EPAS 1a - Make ethical decisions by applying the standards of the NASW Code of Ethics, relevant laws and regulations, models for ethical decision-making, ethical conduct of research, and additional codes of ethics as appropriate to context United States - NOHS Standard 2 - Human service professionals obtain informed consent to provide services to clients at the beginning of the helping relationship. Clients should be Copyright Cengage Learning. Powered by Cognero.

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informed that they may withdraw consent at any time except where denied by court order and should be able to ask questions before agreeing to the services. Clients who are unable to give consent should have those who are legally able to give consent for them review an informed consent statement and provide appropriate consent.

12/26/2016 11:38 PM 12/27/2016 12:14 AM

11. A major problem in the addictions professions, according to Laura Kaplan is A. that this field is not a profession.

B. the problem of dual relationships.

C. the lack of a code of ethics D. the lack of a national professional association.

ANSWER: B POINTS: 1 REFERENCES: Policies Pertaining to the Treatment Profession / Law and Ethical Codes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.02 - To delineate professional concerns around laws, ethics, systems of payment, and managed care; NATIONAL STANDARDS: United States - CACREP 5d - Ethical and culturally relevant strategies for establishing and maintaining in-person and technology-assisted relationships United States - EPAS 1a - Make ethical decisions by applying the standards of the NASW Code of Ethics, relevant laws and regulations, models for ethical decision-making, ethical conduct of research, and additional codes of ethics as appropriate to context United States - NOHS Standard 5 - Human service professionals recognize that multiple relationships may increase the risk of harm to or exploitation of clients and may impair their professional judgment. When it is not feasible to avoid dual or multiple relationships, human service professionals should consider whether the professional relationship should be avoided or curtailed.

DATE CREATED: 12/26/2016 11:40 PM DATE MODIFIED: 12/27/2016 12:14 AM 12. The stress on decriminalization of illicit drugs is most pronounced (as of 2011) in A. the United States B. Portugal C. Mexico City D. Washington, DC ANSWER: B POINTS: 1 REFERENCES: Steps Toward Legalization of Marijuana QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.06 - To explore advantages and disadvantages of the legalization of marijuana, a trend that is fast gaining traction; NATIONAL STANDARDS: United States - CACREP 1e United States - EPAS 5a - Theories and models of counseling United States - NOHS Standard 12 - Human service professionals are aware of local, state, and federal laws. They advocate for change in regulations and statutes when such legislation conflicts with ethical guidelines and/or client rights. Where laws are harmful to individuals, Copyright Cengage Learning. Powered by Cognero.

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groups, or communities, human service professionals consider the conflict between the values of obeying the law and the values of serving people and may decide to initiate social action.

12/26/2016 11:41 PM 12/27/2016 12:14 AM

13. According to the U.S. Department of Justice (2015), around _____ of inmates in the federal prison are serving time for drug related crime.

A. one-third B. one-half C. two-thirds D. 90% ANSWER: B POINTS: 1 REFERENCES: Mandatory Sentencing QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.03 - To provide examples of public policies that lead to social injustices, particularly for the poor, minority, and persons with substance use disorders; ADTR.VANW.18.13.04 - To show the impact of the drug conspiracy laws on women and their children; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 5c - Theories, models, and strategies for understanding and practicing consultation United States - NOHS Standard 13 DATE CREATED: 12/26/2016 11:42 PM DATE MODIFIED: 12/27/2016 12:14 AM 14. Mandatory minimum sentences apply to everything that has to do with the substances listed below except: A. marijuana B. cocaine C. heroin D. alcohol ANSWER: D POINTS: 1 REFERENCES: The War on Drugs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.01 - To describe the contemporary social context of public policy that impacts addiction treatment and the individuals in need of it; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 5b - A systems approach to conceptualizing clients United States - NOHS Standard 12 - Human service professionals are aware of local, state, and federal laws. They advocate for change in regulations and statutes when such legislation conflicts with ethical guidelines and/or client rights. Where laws are harmful to individuals, groups, or communities, human service professionals consider the conflict between the values of obeying the law and the values of serving people and may decide to initiate social action.

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12/26/2016 11:44 PM 12/27/2016 12:14 AM

15. Women caring for minor children (prior to incarceration in prison) make up approximately what percent of all women offenders?

A. one-third B. around 70% C. over 90% D. less than 10% ANSWER: B POINTS: 1 REFERENCES: Mandatory Sentencing QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.04 - To show the impact of the drug conspiracy laws on women and their children; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 3a - Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels.

United States - NOHS Standard 14 DATE CREATED: 12/26/2016 11:45 PM DATE MODIFIED: 12/27/2016 12:14 AM 16. When assets of suspected drug dealers are seized, according to the text, A. the whole family may suffer grievous loss * B. statistics show drug dealing in the immediate area is reduced.

C. the impact is greatest on the middle classes who own enough to suffer a loss.

D. this is an example of harm reduction.

ANSWER: A POINTS: 1 REFERENCES: Civil Asset Forfeitures QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.03 - To provide examples of public policies that lead to social injustices, particularly for the poor, minority, and persons with substance use disorders; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 3a - Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels.

United States - NOHS Standard 16 - Human service professionals advocate for social justice and seek to eliminate oppression. They raise awareness of underserved population in their communities and with the legislative system.

DATE CREATED: 12/26/2016 11:47 PM DATE MODIFIED: 12/27/2016 12:14 AM 17. According to the text, media reports of a whole generation of “crack babies” A. underestimated the problem.

B. led to policy reform where reform was needed.

C. were not informed by empirically-based studies.

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D. should have focused on “meth babies” instead.

ANSWER: C POINTS: 1 REFERENCES: The Punishment of Pregnant Drug Users QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.01 - To describe the contemporary social context of public policy that impacts addiction treatment and the individuals in need of it; NATIONAL STANDARDS: United States - CACREP 1e United States - EPAS 3a - Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels.

United States - NOHS Standard 14 DATE CREATED: 12/26/2016 11:48 PM DATE MODIFIED: 12/27/2016 12:14 AM 18. As an effort of harm reduction, the text favors A. mandatory minimum sentencing to enhance treatment possibilities.

B. the seizing of assets used in crime.

C. drug-free zones to protect children.

D. decriminalization of marijuana.

ANSWER: D POINTS: 1 REFERENCES: Steps Toward Legalization of Marijuana QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.06 - To explore advantages and disadvantages of the legalization of marijuana, a trend that is fast gaining traction; NATIONAL STANDARDS: United States - CACREP 1e United States - EPAS 5b - A systems approach to conceptualizing clients United States - NOHS Standard 12 - Human service professionals are aware of local, state, and federal laws. They advocate for change in regulations and statutes when such legislation conflicts with ethical guidelines and/or client rights. Where laws are harmful to individuals, groups, or communities, human service professionals consider the conflict between the values of obeying the law and the values of serving people and may decide to initiate social action.

DATE CREATED: 12/26/2016 11:50 PM DATE MODIFIED: 12/27/2016 12:14 AM 19. Legal threats to pregnant women who are using drugs during pregnancy have resulted in A. fewer women obtaining prenatal care B. more prevention and treatment services available C. more money for services D. a commitment to provide basic social and health needs.

ANSWER: A POINTS: 1 REFERENCES: The Punishment of Pregnant Drug Users QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.03 - To provide examples of public policies that lead to social injustices, particularly for the poor, minority, and persons with substance use disorders; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 5a - Theories and models of counseling United States - NOHS Standard 12 - Human service professionals are aware of local, state, and federal laws. They advocate for change in regulations and statutes when such legislation conflicts with ethical guidelines and/or client rights. Where laws are harmful to individuals, groups, or communities, human service professionals consider the conflict between the values of obeying the law and the values of serving people and may decide to initiate social action.

DATE CREATED: 12/26/2016 11:51 PM DATE MODIFIED: 12/27/2016 12:14 AM 20. Professor Reichert conducts student tours of Europe to teach A. the harms of drug misuse.

B. the advantage of teaching youths how to drink moderately.

C. how the harm reduction model operates in practice.

D. what Europeans can learn from U.S. drug treatment models.

ANSWER: C POINTS: 1 REFERENCES: Harm Reduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.05 - To describe the current state of major harm reduction efforts in the United States, such as methadone maintenance, needle exchange, and the use of naloxone to save lives from opioid overdose; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 5a - Theories and models of counseling United States - NOHS Standard 12 - Human service professionals are aware of local, state, and federal laws. They advocate for change in regulations and statutes when such legislation conflicts with ethical guidelines and/or client rights. Where laws are harmful to individuals, groups, or communities, human service professionals consider the conflict between the values of obeying the law and the values of serving people and may decide to initiate social action.

DATE CREATED: 12/26/2016 11:52 PM DATE MODIFIED: 12/27/2016 12:14 AM 21. In the U.S., __ states have some form of legal gambling, only ______ of A. 30, 10 % B. 48, around half C. 50, 75% D. 10, one-fourth ANSWER: B POINTS: 1 REFERENCES: Policies Related to Gambling QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

which appropriate money for treatment

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LEARNING OBJECTIVES: ADTR.VANW.18.13.07 - To show the need for further research, funding, and public policies related to gambling problems and treatment.

NATIONAL STANDARDS: United States - CACREP 1e United States - EPAS 5a - Theories and models of counseling United States - NOHS Standard 12 - Human service professionals are aware of local, state, and federal laws. They advocate for change in regulations and statutes when such legislation conflicts with ethical guidelines and/or client rights. Where laws are harmful to individuals, groups, or communities, human service professionals consider the conflict between the values of obeying the law and the values of serving people and may decide to initiate social action.

DATE CREATED: 12/26/2016 11:57 PM DATE MODIFIED: 12/27/2016 12:14 AM 22. The recommendation of the book regarding drug control is A. criminalization.

B. full legalization.

C. a middle harm reduction policies including decriminalization.

D. crackdown on the dealers, not addicts.

ANSWER: C POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.01 - To describe the contemporary social context of public policy that impacts addiction treatment and the individuals in need of it; ADTR.VANW.18.13.05 - To describe the current state of major harm reduction efforts in the United States, such as methadone maintenance, needle exchange, and the use of naloxone to save lives from opioid overdose; ADTR.VANW.18.13.06 - To explore advantages and disadvantages of the legalization of marijuana, a trend that is fast gaining traction; NATIONAL STANDARDS: United States - CACREP 1e United States - EPAS 5c - Theories, models, and strategies for understanding and practicing consultation United States - NOHS Standard 12 - Human service professionals are aware of local, state, and federal laws. They advocate for change in regulations and statutes when such legislation conflicts with ethical guidelines and/or client rights. Where laws are harmful to individuals, groups, or communities, human service professionals consider the conflict between the values of obeying the law and the values of serving people and may decide to initiate social action.

DATE CREATED: 12/26/2016 11:59 PM DATE MODIFIED: 12/27/2016 12:14 AM 23. The bulk of money related to the war on drugs is diverted into military and law enforcement operations.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Policies Pertaining to the Treatment Profession QUESTION TYPE: True / False Copyright Cengage Learning. Powered by Cognero.

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HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.01 - To describe the contemporary social context of public policy that impacts addiction treatment and the individuals in need of it; NATIONAL STANDARDS: United States - CACREP 1e United States - EPAS 5b - A systems approach to conceptualizing clients United States - NOHS Standard 13 DATE CREATED: 12/27/2016 12:02 AM DATE MODIFIED: 12/27/2016 12:14 AM 24. In the Kerr v. Farrey ruling by the Seventh Circuit Court of Appeals in Wisconsin, a prisoner (Kerr’s) First Amendment rights were violated because he was coerced into attending an NA program.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Policies Pertaining to the Treatment Profession / Law and Ethical Codes QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.02 - To delineate professional concerns around laws, ethics, systems of payment, and managed care; NATIONAL STANDARDS: United States - CACREP 1i - Professional Counseling Orientation and Ethical Practice Ethical standards of professional counseling organizations and credentialing bodies, and applications of ethical and legal considerations in professional counseling.

United States - EPAS 1a - Make ethical decisions by applying the standards of the NASW Code of Ethics, relevant laws and regulations, models for ethical decision-making, ethical conduct of research, and additional codes of ethics as appropriate to context United States - NOHS Standard 2 - Human service professionals obtain informed consent to provide services to clients at the beginning of the helping relationship. Clients should be informed that they may withdraw consent at any time except where denied by court order and should be able to ask questions before agreeing to the services. Clients who are unable to give consent should have those who are legally able to give consent for them review an informed consent statement and provide appropriate consent.

DATE CREATED: 12/27/2016 12:03 AM DATE MODIFIED: 12/27/2016 12:14 AM 25. Michelle Alexander’s book, The New Jim Crow is largely concerned with the mass incarceration of minorities.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: Mandatory Sentencing QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.03 - To provide examples of public policies that lead to social injustices, particularly for the poor, minority, and persons with substance use disorders; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 3a - Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels.

United States - NOHS Standard 14 Copyright Cengage Learning. Powered by Cognero.

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DATE CREATED: DATE MODIFIED:

12/27/2016 12:06 AM 12/27/2016 12:14 AM

26. It is illegal for law enforcement to take the money and property of persons “involved” in a drug crime without the owners’ being convicted, indicted, or arrested for a particular crime.

A. True B. False ANSWER: False POINTS: 1 REFERENCES: Civil Asset Forfeitures QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.03 - To provide examples of public policies that lead to social injustices, particularly for the poor, minority, and persons with substance use disorders; NATIONAL STANDARDS: United States - CACREP 2h United States - EPAS 3a - Apply their understanding of social, economic, and environmental justice to advocate for human rights at the individual and system levels.

United States - NOHS Standard 12 - Human service professionals are aware of local, state, and federal laws. They advocate for change in regulations and statutes when such legislation conflicts with ethical guidelines and/or client rights. Where laws are harmful to individuals, groups, or communities, human service professionals consider the conflict between the values of obeying the law and the values of serving people and may decide to initiate social action.

DATE CREATED: 12/27/2016 12:08 AM DATE MODIFIED: 12/27/2016 12:14 AM 27. According to research studies, there is no convincing evidence that prenatal cocaine exposure is associated with developmental toxic effects that are different in severity, scope, or kind from the sequelae of multiple other risk factors.

A. True B. False ANSWER: True POINTS: 1 REFERENCES: The Punishment of Pregnant Drug Users QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.01 - To describe the contemporary social context of public policy that impacts addiction treatment and the individuals in need of it; NATIONAL STANDARDS: United States - CACREP 3e United States - EPAS 4c - Use and translate research evidence to inform and improve practice, policy, and service delivery United States - NOHS Standard 13 DATE CREATED: 12/27/2016 12:11 AM DATE MODIFIED: 12/27/2016 12:14 AM 28. Prior to passage of health care reform, substance abuse treatment in the U.S. was integrated within the healthcare system.

A. True B. False Copyright Cengage Learning. Powered by Cognero.

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ANSWER: False POINTS: 1 REFERENCES: The Punishment of Pregnant Drug Addicts / Systems of Payment and Insurance Coverage QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: ADTR.VANW.18.13.02 - To delineate professional concerns around laws, ethics, systems of payment, and managed care; NATIONAL STANDARDS: United States - CACREP 1e United States - EPAS 5b - A systems approach to conceptualizing clients United States - NOHS Standard 12 - Human service professionals are aware of local, state, and federal laws. They advocate for change in regulations and statutes when such legislation conflicts with ethical guidelines and/or client rights. Where laws are harmful to individuals, groups, or communities, human service professionals consider the conflict between the values of obeying the law and the values of serving people and may decide to initiate social action.

DATE CREATED: 12/27/2016 12:13 AM DATE MODIFIED: 12/27/2016 12:14 AM

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