Quantum Units Education®

Chapter 1: Ethical Foundations Of Substance Abuse Treatment-Pervasiveness

1. Which of the following accurately describes the pervasiveness of substance abuse based on a 2007 National Survey on Drug Use and Health?

The Moral and Ethical Salience of Living with Addictions

2. Substance use disorders are highly stigmatized and hence require more rigorous confidentiality protections than do other medical conditions.

Ethical Principles

3. The most complicated and agonizing ethical conflicts substance-use clinicians will confront will likely be those related to:

Ethical Dilemmas

4. The first step in resolving an ethical dilemma is to recognize it as a true clinical problem rather than a legal question or on institutional matter.

Confidentiality, Truth Telling, and Clinical Practice

5. The rationale for more robust confidentiality protections in addiction treatment than in other forms of medical care lies in the greater _____________ attached to substance use disorders.

Clinical Considerations

6. General exceptions to confidentiality requirements include each of the following EXCEPT:

Conclusion

7. Research indicates that the most common reasons individuals will not seek treatment for drug or alcohol abuse are insurance barriers and the cost of treatment.

Chapter 2: The Therapeutic Relationship in Substance Abuse Treatment-Clinical Considerations

8. Reflective listening, a key component in eliciting behavior change, has been described as the ability to actively listen to the patient and to understand the patient's perspective.

Clinical Boundaries

9. Clinicians who are in recovery from alcohol or drug abuse must be careful not to allow boundary violations to occur when they overidentify with their patients or allow their personal experience to interfere with the treatment of their patients.

Dual Relationships With Patients

10. A study examining substance abuse counselors' beliefs regarding multiple relationships found that nonrecovering individuals saw more behaviors regarding multiple relationships to be ethically concerning than recovering individuals.

Scope of Practice

11. It is estimated that between _________ percent of drug abusers have a concurrent (co-occurring) mental illness.

Chapter 3: The Ethics of Harm Reduction

12. The term “harm reduction” describes a public health approach intended to reduce risks and adverse consequences of behavioral choices, and it is generally seen as an alternative to “zero tolerance”.

Controlled Drinking: A Prototypic Experience

13. Alcohol use disorders are recognized by experts to be dichotomous, rather than being distributed along a continuum.

Ethical Considerations in Harm Reduction

14. Harm reduction practices typically address what might be regarded as a natural consequence of risky behavior, such as ____________ , unwanted pregnancy, or overdose.

Feasibility

15. The probability of stable moderation for a person who has had problems with alcohol appears to depend on the severity of problems and dependence that the person has experienced.

Core Concepts

16. The psychological phenomenon whereby attempts to restrict freedom or choice may paradoxically strengthen the occurrence and persistence of a behavior is known as:

17. Individuals with co-occurring disorders are often present in substance abuse treatment settings and they represent the population with poorest outcomes and highest costs.

Chapter 4: Ethical Issues in The Treatment of Persons With Co-Occurring Disorders-Overview of Co-Occurring Disorders

18. Over the past two decades clinicians and administrators have become much more aware of individuals with co-occurring substance abuse and mental health disorders, and have ensured that their care be prioritized.

19. Successful treatment programs for patients with co-occurring disorders welcome and engage patients as desirable clients, and connect with them through relationships and programming that is empathetic, hopeful, and:

Consequences of an Unwelcome Treatment Climate

20. A review of state system patients who died in behavior health care revealed each of the following EXCEPT:

Effective Treatment Approaches

21. Treatment approaches for individuals with co-occurring disorders may include strategies to manage trauma-related issues and substance abuse skills training for people with persistent mental illness.

Core Concepts

22. Case management and adequate support must be balanced with expectation, ______________, and positive contingent learning for each person in any setting.

Chapter 5: Cultural and Spiritual Dimensions of Addiction Treatment

23. In terms of ethical guidelines, culture has historically included the following:

Ethics in Relation to Culture

24. The term “ethical multiculturalism” refers to the belief that ethical principles are universal and independent of culture.

Beneficence and Social Justice

25. The ethical goal of improving social justice for all involves exploring with clients how their substance use problem may be related to other sociopolitical forces such as racism, marginalization, and powerlessness.

Ethical Principles Relating to Culture and Spirituality in Addiction Treatment

26. The principle that suggests that in order to make decisions about treatments options, patients should be provided with relevant information about all reasonable treatment options is:

Spirituality and Addiction

27. Religion and spirituality are best conceptualized as multidimensional constructs that overlap and are conceptually intertwined.

Chapter 6: Forensic Issues in the Treatment of Addictions

28. Clinicians may be reluctant to accept patients who have been court mandated to attend substance abuse treatment because they may be skeptical of the patients' motivation to stop using substances.

Disability from Alcoholism and Drug Dependence

29. Which of the following in NOT one of the workplace discrimination protections for persons with substance abuse issues under the Americans with Disabilities Act (ADA) of 1990?

30. Although society has never held voluntary intoxication to be a valid excuse for illegal actions, some substance related psychosis and organic brain syndromes may affect behavior in such a way that an insanity defense may be possible.

Core Concepts

31. Malpractice in addiction psychiatry is an important area of interaction between addiction treatment and criminal law.

Chapter 7: Ethical Issues in the Treatment of Women with Substance Abuse

32. Keys factors in approaching the female substance abusing patient ethically are the influence of stereotypes in the clinician and ________________.

Stereotyping of Women

33. When women are perceived to control men through sexuality or feminist ideology, this is referred to as antagonistic sexism.

Risk Factors for Substance Abusing Women

34. The rate of alcoholism among women is highest among Native Americans, followed by African Americans and Hispanics, while prescription medication abuse is most common among white women.

Bioethical Principles

35. Informed consent revolves around ensuring that patients are fully aware of the treatment options available to them and of the nature of their illnesses, and is viewed as a dynamic process that involves continuous interaction between provider and patient.

Bioethical Principles and Hostile/Benevolent Sexism with Female Substance Abusers

36. Examples of benevolent sexism include each of the following EXCEPT:

Chapter 8: Ethical Aspects of the Treatment of Substance Abuse in Children and Adolescents

37. Research indicates that alcohol use contributes to ___ percent of adolescent fatalities in motor vehicle crashes and ___ percent of adolescent drownings.

Informed Consent

38. In recent years, legislators, clinicians, and researchers have recognized youth who possess the requisite cognitive and emotional abilities to provide informed consent, who are known as developed minors.

Evidence-Based Treatments

39. Although methadone therapy is rarely approved for adolescents, there is evidence that buprenorphine replacement therapy is beneficial for older adolescents with opioid dependence.

Core Concepts

40. Evidence-based treatments for substance abuse incorporate each of the following EXCEPT:

Chapter 9: Ethical Dilemmas in Treating Chronic Pain in the Context of Addiction-Treating Chronic Nonmalignant Pain

41. Chronic pain involves not only physical symptoms but also psychological, emotional, behavioral, and social influences, and affects not only the patient but also the family members closely involved with caring for the patient.

Pain and Addiction Terminology

42. The signs and symptoms of addiction can closely resemble the behaviors seen in the patient who remains in severe pain and is undertreated, known as pseudoaddiction.

A Harm Reduction Approach

43. Clinicians of all disciplines must recognize that patients with substance use disorders often have a higher pain tolerance and lower pain medication threshold than their non-substance using peers.

Ten Steps in the Ethical Management of Chronic Pain

44. Ten Steps in the Ethical Management of Chronic Pain include all of the following EXCEPT:

45. For addiction professionals perhaps the most significant component of harm reduction is: