Quantum Units Education®

Defining Sex and Gender

1. Notions of gender-appropriate behavior has changed over time, as it was once considered appropriate for young boys to wear dresses, even as recently as the 19th and early 20th centuries.

Defining Substance Abuse and Dependence

2. The term “substance” can refer to which of the following:

3. Which term should not be used as a synonym for ‘use,’ ‘misuse,’ or ‘hazardous use’?

Conceptual Frameworks of Masculinity and Male Roles

4. A body of socially constructed ideas and beliefs about what it means to be a man and against which men are measured by their societies, are known as masculinity ideologies.

Rituals, Rites of Passage, and Alcohol Abuse

5. Researchers who examined college students found this activity to be a form of ritualized behavior.

6. Which is a critical transition in a man’s life?

Emotional Restraint

7. Men are less likely than women to respond to emotional stress by drinking.

8. Alexithymia is defined as:

Competition and Success

9. Among male college students, which students drink more?

Aggressiveness, Fearlessness, and Invulnerability

10. Alcohol is also associated with increased aggression, however, this effect may be stronger for women than for men.

Sexual Accomplishment

11. Men who engage in non-relational sex can find intimacy difficult and relationship-building with members of either sex challenging.

12. The assumption that heterosexual behavior is natural and therefore homosexual men are less masculine is defined as:

Independence and Self-Sufficiency

13. Which group is less likely to seek help for substance abuse?

14. When a man is asked or told to give up alcohol, he may feel like he is giving up part of his masculine identity.

Gender Role Conflict and Masculine Role Stress

15. Which of the following is one of the four areas that the Gender role Conflict Scale gauges gender role conflict?

Men’s Substance Abuse

16. The highest rate of illicit drug use is among young adult men, and the most common illicit drug used is cocaine.

17. American men are _______ times more likely to develop a substance use disorder than women.

18. When men receive substance abuse treatment, taxpayers benefit: For every dollar spent on treatment, an estimated _____ is saved in criminal justice, healthcare, welfare, and disability costs.

19. Men were higher than women for treatment admissions for all primary substances of abuse except which two?

Screening and Assessment of Men

20. Screening is a formal interviewing and/or testing process that diagnoses and determines the severity of a disorder.

Comprehensive Screening and Assessment

21. Which is the first step in a comprehensive substance abuse assessment?

Screening in other settings

22. Substance abuse, especially involving alcohol, is the most frequent behavioral health issue among men in the general population.

Gender-Aware Personal Assessment

23. A comprehensive personal assessment routinely includes a physical examination.

24. There has shown no better retention or improved treatment outcomes for being employed vs. being unemployed.

25. During assessment, the client should be informed of what is required to be provided to representatives of the criminal justice system, such as the results of positive urine drug screens or threats to self or others.

26. In ambulatory settings, the initial interview should include questions about:

Assessing Family History

27. Repeated substance abuse by men tends to be consistent across generations within the same family.

Assessing a history of childhood abuse and neglect

28. Boys are less likely than girls to experience emotional neglect and to sustain a serious injury as a result of physical abuse.

Assessing current physical or sexual violence in the client’s family

29. Men with histories of physical or sexual violence typically present with angry defensiveness.

30. Which of the following is associated with increased domestic violence?

Assessing Male Sexuality

31. In terms of sexual orientation, counselors should not question the client on how they self-identify (e.g., gay, straight, bisexual) or what types of sexual behavior he engages in and with whom.

Understanding Risk-Taking

32. Legal, social, and financial risks are types of sensation-seeking activities.

Assessing for Shame

33. To evaluate shame accurately, clinicians must understand the conceptual differences between shame and other negative emotions, particularly _______.

34. Depression is a sign of “bypassed shame.”

Advice to Behavioral Health Clinicians: Identifying and Evaluation Shame

35. Which is the best time to observe men when evaluating them for shame?

Treating Men for Substance Abuse: General Considerations

36. Small adaptations can be made to improve treatment for men, such as ensuring that waiting rooms have decorations and reading material that appeal to men.

Treatment-Seeking Behaviors in Men

37. The counselor should not use self-disclosure to help move sensitive topics into the open.

38. Giving men something to do to prepare for the next step supports their sense of:

Engagement Techniques for Men

39. Emphasizing choices usually facilitates engagement.

Counselors’ Gender: Some Considerations

40. Among the most important issues that arise in substance treatment contexts with regard to the client’s and counselor’s gender, are:

Client Transference Related to Counselor Gender

41. Attributes that counselors assign (from their histories) to their clients is known as:

42. It is common and normal for the male client to feel emotional and/or sexual attraction for the counselor.

Countertransference dynamics for women working with men

43. One of the most difficult experiences women face in our society due to gender role socialization and culturally defined gender norms is a sense of being:

Advantages of Female Behavioral Health Counselors in All-Male Settings

44. Which of the following is true regarding counselors and their clients in substance abuse treatment?

45. Both male and female medical patients talk more and provide more relevant information to:

46. Compared with female clinicians, male clinicians typically are more open to discussing relational issues and focusing on underlying process issues during treatment.

Advantages of Male Behavioral Health Counselors in All-Male Settings

47. Some literature supports the theory that men, particularly those from certain cultural backgrounds, disclose more thoroughly to other men.

Recruiting Male Behavioral Health Counselors

48. Demographic information demonstrated that most treatment professionals were of which ethnicity and age range?

Anger Management

49. Anger is one of the only emotions that many men feel comfortable expressing and often use it to cover up other emotions.

50. Which type of anger is associated with a tendency to experience anger more frequently, more intensely, and for a longer period of time?

51. Men with anger problems are less prone to relapse to substance use.

Learning To Nurture and To Avoid Violence

52. Which of the following is critical for men to have if they are to be nurturing, loving, and caring husbands and fathers?

Learning to Cope with Rejection and Loss

53. Some male clients may need to learn how to accept being told:

Counseling Men Who Feel Excessive Shame

54. Many men with substance use disorders and their families ignore prevention messages, avoid treatment, and endure suffering and risk death daily for the simplest of reasons:

Violence and Criminal Behavior

55. In 2006, men were more likely to be the victims of every type of violent crime except:

56. According to 2006 data, men were more than _____ times as likely to be violent offenders as women.

57. Which is the most commonly reported substance in cases of violent crime?

Domestic Violence and Child Abuse

58. Which substance(s) is/are associated with increased domestic violence?

59. Upto _____% of child abuse cases were associated with the use of alcohol and/or drugs by the perpetrator.

60. Relapse of substance abuse precipitates further domestic violence.

Men as victims of domestic violence

61. What percentage of men who lived with male partners reported stalking, physical assault, and/or sexual assault by their partners?

Treatment and referral for domestic violence

62. Couples or family therapy can increase the likelihood of further domestic violence and should not be used with clients who have such a history.

63. Providers should hesitate before leveraging the criminal justice system to ensure that male batterers participate in domestic violence treatment.

64. Behavioral couples therapy significantly reduces domestic violence and is effective for up to _____ after treatment for men with alcohol use disorder.

Sexual Violence

65. In one study, _____% of men who admitted to behavior that met legal definitions of rape acknowledged being under the influence of alcohol when they committed the act.

Substance Abuse and the Male Reproductive System

66. Men who drink heavily increase their risk for which condition(s)?

67. Marijuana use has been associated with increased rates of a number of male-specific cancers (e.g., prostate, testicular, penile).

Childhood Sexual Abuse

68. The age at which a man is most likely to be a victim of sexual assault is:

Legal Issues Affecting Families: Child support

69. Fathers with substance abuse problems are twice as likely to fail to pay child support as those without such problems.

Support From Partners, Family, and Friends

70. Men between the ages of 55 and 65 years who abuse alcohol were found to experience more support for substance abuse treatment from which group?

Anxiety Disorders

71. Men are more likely to have anxiety disorders than women.

Posttraumatic stress disorder

72. Among men, rape and combat are the two types of trauma most likely to lead to PTSD.

Dysthymia and major depressive disorder

73. Men tend to be over-diagnosed with depression.

Pathological Gambling

74. What fraction of individuals with a pathological gambling disorder are men?

Suicidality

75. Women are three times more likely to attempt suicide than men, but men are more than four times as likely to die from suicide.

Specific Needs of Older Men Entering Treatment

76. In 2007, it was found that men ages 65 and older were 37.5 times more likely to not have a past-year alcohol problem than to have one; women in the same age group were _____ times more likely.

Admission/substance use statistics

77. Data from 2007 showed that the heaviest use of alcohol, tobacco, and many illicit drugs were by:

Family and Couples Therapy

78. Men who relapse are more likely to do so in the presence of romantic partners than when with male friends.