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1. In the Matrix IOP intervention, which of the following is considered the primary treatment dynamic?
A. Treatment assessment of the client’s progress.
B. The relationship between counselor and client.
C. Coordination of treatment with community resources.
D. All of the above.
2. Conjoint sessions that include both the client and family members or other supportive persons are crucial to keeping clients in treatment.
A. True
B. False
3. All of the following are true with regard to Early Recovery Skills group sessions, except for:
A. The sessions involve small groups for a maximum of 6 people.
B. Each ERS group is led by a counselor.
C. Each ERS group is co-led by a client who is advanced in the program and has a stable recovery.
D. The counselor needs to focus on the session’s topic and be sure not to contribute to the high-energy, “out-of-control” feelings that may be characteristic of clients in early recovery from stimulant dependence.
4. The ERS group:
A. Is a therapy group.
B. Is intended to create strong bonds among group member.
C. Has a strong “how to” focus.
D. All of the above.
5. The Relapse Prevention group is based on which of the following premises?
A. Relapse is not a random event.
B. The process of relapse follows predictable patterns.
C. Signs of impending relapse can be identified by staff members and clients.
D. All of the above.
6. Each client’s primary counselor:
A. Coordinates with other counselors working with the client in group sessions.
B. Is familiar with the material to which the client is being exposed in the Family Education sessions.
C. Encourages, reinforces, and discusses material that is being covered in 12-Step or mutual-help meetings.
D. All of the above.
7. Providing education about substance use disorders and recovery and an opportunity for family members to talk about their concerns is critical to helping them support the person who is in treatment and can alleviate anxiety and other negative feelings they may have.
A. True
B. False
8. The Family Education group is family therapy that attempts direct intervention into individual familial dynamics.
A. True
B. False
9. The counselor should recognize that discussions about drug and alcohol use may serve as triggers for clients and stimulate cravings.
A. True
B. False
10. Which of the following is involved in all forms of addiction, is where the pleasure and reward system is located, and is where most, if not all, survival mechanisms originate?
A. The prefrontal cortex
B. The limbic system
C. The basal ganglia
D. The amygdala
11. The part of the brain affected by mood-altering substances is the same part of the brain that makes us seek food when we are hungry and water when we are thirsty and is responsible for our sexual drive.
A. True
B. False
12. Which of the following is a hallmark of addiction?
A. Triggers
B. Cravings
C. Both (A) and (B)
D. None of the above
13. The craving response is almost as powerful as the actual physical reaction to drugs and alcohol during which phase?
A. The introductory phase
B. The maintenance phase
C. The disenchantment phase
D. The disaster phase
14. Which of the following comes first?
A. Arguing
B. Negotiation
C. Compromise
D. Justification
15. Thought stopping techniques include:
A. Visualization
B. Relaxation
C. Rubberband snap
D. All of the above
16. Alcohol withdrawal can be life-threatening, and without treatment, as many as 1 out of every 2 people who develop delirium tremens symptoms dies.
A. True
B. False
17. Drinking affects women differently than it affects men in which way?
A. Women develop alcoholic liver disease more quickly and after drinking less alcohol than men do.
B. Women are more likely than men to develop alcoholic hepatitis and to die from cirrhosis.
C. Women are more vulnerable than men to alcohol-induced brain damage.
D. All of the above.
18. Studies show that people who use stimulants are _____ times more likely to relapse to stimulant use if they use alcohol than if they don’t drink.
A. 4
B. 8
C. 12
D. 16
19. When the stimulant and euphoric effects of meth or cocaine wear off, dopamine levels may decrease to levels that are below normal, and the person experiences an abrupt drop in mood and energy levels.
A. True
B. False
20. Creating structure by scheduling their time can help people in recovery feel more in control of life.
A. True
B. False
21. The early abstinence stage, when people often feel much better and start to think that their problems with substances are solved, usually lasts for:
A. 2 weeks
B. 4 weeks
C. 8 weeks
D. 12 weeks
22. A first step toward learning to interrupt the trigger-thought-craving-use sequence is to:
A. Understand what constitutes a trigger.
B. Learn to recognize a trigger as quickly as possible.
C. Both (A) and (B).
D. None of the above.
23. The person in recovery is particularly vulnerable to relapse during which phase, due to the person often perceiving that the negative emotional states and low energy common to this stage will persist indefinitely?
A. The withdrawal stage
B. The early abstinence stage
C. The protracted abstinence stage
D. The adjustment and resolution stage
24. The tendency for people to think, for example, “Well, I’m drinking again; I might as well use a little meth, too.” illustrates which of the following?
A. Abstinence violation effect
B. Stimulant craving induction
C. Cortical disinhibition
D. All of the above
25. Once a person has reached the adjustment and resolution stage, their life can return to pretreatment normalcy.
A. True
B. False
26. Because cravings occur less often and feel less intense by the adjustment and resolution stage of recovery, people may:
A. Believe that they now can use a secondary drug safely
B. Return to relationships with people who use stimulants
C. Neglect recovery activities, losing the momentum of recovery
D. All of the above
27. Relapse is inevitable. Every person will relapse at least once before achieving long-term recovery.
A. True
B. False
28. Physical signs of opioid use are all of the following, except for:
A. Dilated pupils
B. Flushing of the skin
C. A heavy feeling in the limbs
D. Nodding
29. Eventually, a person’s tolerance for opioids means that the drug is taken mainly to stave off withdrawal, not to get high.
A. True
B. False
30. Which of the following is the strongest form of oxycodone available?
A. OxyContin
B. Percodan
C. Percocet
D. Tylox
31. LSD’s effects depend on:
A. The dose.
B. The mood of the person taking it.
C. The environment in which it is taken.
D. All of the above.
32. Ecstasy can raise the body temperature as high as:
A. 112 degrees
B. 109 degrees
C. 106 degrees
D. 103 degrees
33. Addiction is which of the following?
A. A personal failing
B. A lack of willpower
C. A medical disorder
D. A moral downfall
34. Which of the following is involved in creating a craving for a drug?
A. The cognitive process
B. The conditioning process
C. Obsessive thinking
D. All of the above
35. The loss of rational control to the emotional part of the brain is known as:
A. Dependence
B. Addiction
C. Cravings
D. Conditioning
36. By the time people in recovery reach the _____ stage of recovery, they know which behaviors they need to engage in to keep their recovery strong and which behaviors place their recovery at risk.
A. Withdrawal
B. Honeymoon
C. Readjustment
D. Wall
37. Later in life, babies exposed to marijuana during pregnancy may have trouble:
A. Concentrating
B. Learning
C. Making decisions
D. All of the above
38. All of the following are the immediate effects of drinking alcohol, except for:
A. Feelings of well-being or euphoria
B. Experience delayed reaction time
C. Talkativeness and increased sociability
D. Lowered inhibitions
39. People who drink heavily experience more infectious diseases than do people who drink only moderately.
A. True
B. False
40. In addition to nervous system disorders, most people who drink heavily have:
A. Loss of mental function
B. Reduced brain size
C. Changes in function of brain cells
D. All of the above
41. Research has found how much alcohol to be safe during pregnancy?
A. 1 drink per day.
B. 3 drinks per week.
C. 1 drink per week.
D. Research has not found any amount of alcohol to be safe during pregnancy.
42. Meth use is increasing among all of the following, except:
A. Blacks
B. Hispanics
C. The homeless
D. Women
43. Pneumonia is caused from which method of taking meth?
A. Injecting
B. Snorting
C. Smoking
D. All of the above
44. Relapse can happen without warning and happens quickly.
A. True
B. False
45. The person in recovery should identify and list four or five things that help maintain abstinence and include all of the following, except for:
A. Items such as exercise.
B. List attitudes.
C. Note specific people or place that are known triggers and need to be avoided.
D. Inform family members of the activities and behaviors that serve as mooring lines.
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