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1. Which of the following statements is true?
A. More than 7.6 million Americans have a diagnosable drug abuse disorder.
B. Drug overdoses approach car crashes as a leading cause of accidental death.
C. Drug abuse contributes to more than one in eight new HIV infections.
D. All of the above are true.
2. Only a fraction of the money spent on health-related drug abuse costs is spent on identifying and intervening early in emerging cases of drug abuse or treating individuals with substance use disorders. Much of it is spent instead in the emergency room and in the rehabilitation of severe injuries.
A. True
B. False
3. Substance use disorder treatment is a specialty in medicine that is an integral part of the rest of the healthcare system.
A. True
B. False
4. Most individuals require long-term or repeated episodes of care to achieve the ultimate goal of sustained abstinence and recovery of their lives.
A. True
B. False
5. Which of the following is not one of the key principles that should form the basis of any effective substance use disorder treatment program?
A. Addiction is a complex but treatable disease that affects brain function and behavior.
B. No single treatment is appropriate for everyone.
C. Treatment needs to be voluntary to be effective.
D. Drug use during treatment must be monitored continuously, as lapses during treatment do occur.
6. Which of the following is one of the nine elements that must be incorporated into all substance use treatment programs?
A. Case Management
B. Continuing Care
C. Treatment Planning
D. All of the above
7. Screening is a relatively brief process designed to identify individuals who are at increased risk of having substance use disorders that warrant all of the following, except:
A. Medication
B. Immediate attention
C. Intervention
D. More comprehensive evaluation
8. A screening instrument enables a clinical diagnosis to be made.
A. True
B. False
9. Generally speaking, assessment of an individual with a substance use disorder is utilized to do all of the following, except:
A. Assess for physiologic dependence.
B. Prescribe medications.
C. Stage disease severity.
D. Identify the domains of life affected by the disease.
10. Which of the following basic areas to be assessed should remain fairly constant?
A. Why the person is seeking treatment and what they want.
B. Individual’s strengths and recovery potential.
C. Peer, family and natural recovery supports.
D. All of the above.
11. It is important to interview individuals in ways that avoid defensiveness about the behaviors resulting from their substance use disorders to allow the development of stage specific interventions.
A. True
B. False
12. Which of the following is not one of the four features that characterize ASAM patient placement criteria?
A. Comprehensive, individualized treatment planning.
B. Placement on a waiting list for services.
C. Attention to multiple treatments needs.
D. Ongoing reassessment and modification of the individualized service plan.
13. The assessment serves to identify obstacles and resources along with the patient’s liabilities and strengths. Within the assessment, the patient’s needs should be focused on but the assessment should not focus on their wants.
A. True
B. False
14. The resolution of the problems identified as justifying admission to a particular level of care determines when an individual with substance use disorder can be treated at a different level of care or discharged from treatment.
A. True
B. False
15. The ASAM PPC-2R identifies all of the following as continued stay criteria, except:
A. The individual is making progress but has not yet achieved goals articled in the individualized treatment plan.
B. The individual is not yet making progress but has the capacity to resolve his or her problems.
C. The individual has achieved the goals articulated in his or her individualized treatment plan, thus resolving the problems that justified admission to present level of care.
D. The individual has identified new problems that are appropriately treated at the present level of care.
16. Because it is easy to lose sight of the issue that brings people into treatment, a treatment plan is needed to provide structure to the therapeutic process.
A. True
B. False
17. At the minimum, individualized service plans should be which of the following?
A. Developed in collaboration with the individual and includes family participation, whenever possible.
B. Individualized, strengths-based, stage-specific, measurable, achievable, and progressive and written in an individual’s own terminology.
C. Inclusive of interventions for both the treatment team and the individual member.
D. All of the above.
18. Research has shown that motivation-enhancing approaches are associated with lower participation in treatment and lower treatment outcomes.
A. True
B. False
19. Outcomes of the motivation-enhancing approach include all of the following, except:
A. Reductions in consumption
B. Social adjustment
C. Decreased abstinence rates
D. Successful referrals to treatment
20. A positive attitude toward change and a commitment to change are associated with positive treatment outcomes.
A. True
B. False
21. The same kinds of interventions and motivational support that are used in the early stages of readiness should be continued through the later stages of the change cycle.
A. True
B. False
22. All of the following are true in regards to case management, except:
A. Case management has been shown to be an effective adjunctive treatment for individuals with substance use disorders.
B. Case management is not an effective adjunctive treatment for individuals with substance use disorders co-occurring with psychiatric disorders.
C. Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services needed to meet an individual’s health needs.
D. Case management uses communication and available resources to promote quality, cost-effective outcomes.
23. Treatment may be more likely to succeed when an individual’s other problems are addressed concurrently with substance use disorder.
A. True
B. False
24. Case management as a practice focuses on:
A. The whole individual and stresses comprehensive assessment.
B. Service planning.
C. Service coordination to address multiple aspects of an individual’s life.
D. All of the above.
25. Case management facilitates the movement to different levels of care.
A. True
B. False
26. The combination of therapies and other services are focused on meeting the needs of the individual, which are shaped by all of the following issues, except:
A. Education level
B. Housing
C. Employment
D. Pregnancy
27. Medications should not be used as adjuncts to the treatment process.
A. True
B. False
28. All of the following are true regarding medications, except:
A. Medically assisted withdrawal, if done properly, may in itself be treatment.
B. Medications offer help in suppressing withdrawal symptoms during detoxification.
C. Medications can be used to help re-establish normal brain function and to prevent relapse and diminish cravings.
D. FDA approved medications for opioid, nicotine, and alcohol addiction are currently available.
29. Research on mutual support groups indicates that active participation in any type of mutual support group significantly increases the likelihood of maintaining abstinence.
A. True
B. False
30. Those who are able to provide some support or assistance to others experience a heightened sense of self-worth and self-esteem themselves, is which of the following?
A. Peer Support
B. Role Models
C. Helper’s Principle
D. None of the above
31. The best way to help an individual benefit from mutual support groups is to encourage increased participation in his or her chosen group.
A. True
B. False
32. To improve the individual’s chances of attending a meeting, providers can do which of the following?
A. Provide information about the value of self help groups, including education about the different type of groups available, sponsorship, and why it is so important.
B. Initiate the first conversation between an individual and a support group contact person.
C. Refer family members or others who may be affected by the individual’s substance use.
D. All of the above.
33. At a minimum, a team should consist of the individual being served along with all of the following, except:
A. A peer specialist or coach
B. Employer
C. Family
D. Referral source
34. Following up with the individual at regular intervals following discharge should be done for a minimum of 3 years.
A. True
B. False
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