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1. All of the following have been found pertaining to factors that influence retention among women, except for:
A. Research typically reflects higher retention rates among women of color.
B. Women who have a high school degree or equivalent are more likely to stay in treatment longer and complete treatment than women with less than a high school education.
C. Criminal justice research has found that women who are older at their first arrest are more likely to complete treatment.
D. Women who develop relationships in treatment are less likely to successfully complete treatment if their new partner discontinues treatment.
2. Which of the following may play a more significant role in retention?
A. Severity of substance use disorder
B. Specific demographics
C. Limited economic resources
D. Family support
3. Leading practitioners in the field of substance abuse treatment for women suggest that effective therapeutic styles are best characterized as all of the following, except for:
A. Supportive
B. Passive
C. Constructive
D. Optimistic
4. Which of the following lead to higher retention rates?
A. Women who have access to various services in one location.
B. Women who are involved in or initially receive greater intensive care.
C. Treatment services that include individual counseling for women.
D. All of the above.
5. All of the following are counselor characteristics women have identified that they believe contribute to treatment success, except for:
A. Authoritarian attitudes and approach.
B. Confidence and faith in their abilities.
C. Projection of acceptance and care.
D. All of the above are counselor characteristics women have identified that contribute to treatment success.
6. Women are more likely to stay in treatment during transitions to less intensive levels of care if it is the same treatment agency.
A. True
B. False
7. More than men, women find an activity more satisfying and more pleasurable when others are involved. Therefore, for women, relationships directly affect their feelings of empowerment, self-worth, and self-esteem.
A. True
B. False
8. Research indicates that although a positive environment is important, it is not as enriching to a child’s early growth and development as prenatal exposure to substances is detrimental.
A. True
B. False
9. Why is the treatment complicated for women who have histories of violence and trauma?
A. The interrelationship between trauma and substance use.
B. The role that substances play in managing traumatic stress symptoms.
C. Sequelae from the experience of trauma such as depression and other psychological disorders.
D. All of the above.
10. The strongest risk factor for being a victim of intimate partner violence is:
A. Physical or psychiatric disabilities
B. Being female
C. Living below the poverty line
D. A history of intrafamilial violence
11. The need for ongoing evaluation of co-occurring disorders is critical because both substance abuse and substance withdrawal can mimic or mask co-occurring psychiatric disorders.
A. True
B. False
12. In addition to their response to treatment, patients with postpartum depression need to be monitored for all of the following, except for:
A. Thoughts of suicide.
B. Thoughts of infanticide.
C. Post-traumatic stress disorder.
D. Progression of psychosis.
13. Which of the following is a severe mental disorder?
A. Postpartum blues
B. Postpartum depression
C. Postpartum psychosis
D. All of the above
14. Among women with a history of sexual assault and PTSD, _____ have been noted as a significant motive to drink.
A. Low self-esteem issues
B. Sleep difficulties
C. Anxiety disorders
D. Depression disorders
15. Staff working with women who abuse substances with anxiety disorders need to “slow down,” that is, start with general and non-provocative topics and proceed gradually as clients become more comfortable talking about issues.
A. True
B. False
16. Although individuals with both PTSD and substance use disorders relapse more quickly, PTSD is not a predictor of relapse.
A. True
B. False
17. When providing treatment, clinicians need to be aware that most female clients are trauma survivors, even if they do not meet criteria for PTSD.
A. True
B. False
18. To be trauma-informed means all of the following, except for:
A. Substance abuse treatment counselors need the level of expertise that is required to help women resolve all their problems related to trauma.
B. Understand the roles that violence and victimization play in the lives of women seeking substance abuse and mental health services.
C. Design integrated service systems that accommodate the vulnerabilities of a trauma survivor.
D. Deliver services that facilitate participation in treatment.
19. Which of the following is a major trauma-related clinical issue that counselors need to address or attend to during the course of treatment?
A. Outreach
B. Assessment and referral
C. Psychoeducation
D. All of the above
20. A study on exposure therapy for people in substance abuse treatment showed that many clients tolerate the work very well.
A. True
B. False
21. During treatment, triggering and retraumatization should always be avoided.
A. True
B. False
22. Female trauma survivors in early treatment for substance abuse typically need to be:
A. In an all-women group.
B. In a group led by a female facilitator.
C. Both (A) and (B).
D. None of the above.
23. All of the following are true with regard to depression, except for:
A. Major depression is an intense, acute form of depression, often with physiological changes in such areas as sleep, appetite, energy level, and ability to think.
B. Major depression has severe, moderate, and mild variants.
C. Mild major depression is not a serious mental disorder.
D. Thought content includes feelings of worthlessness and suicidal ideation or plans.
24. Depression usually precedes alcohol abuse in men, whereas alcohol dependence usually comes first among women.
A. True
B. False
25. Why might women need education and medication monitoring initially to ensure they are taking their antidepressant medications as prescribed?
A. Some women may increase their dose thinking that the larger dose provides more help.
B. Some women may reduce their dose to prove they are improving.
C. Some women may have difficulty taking antidepressant medication based upon fear and misinformation that it is addictive.
D. Any of the above.
26. For clients who are hesitant to use medications or when the use of medication is contraindicated, CBT and IPT are viable options and appear just as effective, even when depression is severe.
A. True
B. False
27. All of the following pertain to methadone maintenance treatment, except for:
A. Because MMT can normalize mood in some women it can be used as a treatment for depression.
B. Women receiving MMT require antidepressant medication that is compatible with methadone.
C. Dosages of both methadone and antidepressant medication need close monitoring.
D. All of the above are true.
28. As eating disorder behavior becomes more severe, the number of substance classes used increases as well.
A. True
B. False
29. Which of the following is true with regard to eating disorders?
A. Compulsive or binge eating bears a similarity to abuse of substances other than food and is correlated with depression, thoughts of suicide, and childhood sexual abuse.
B. Women engaging in binge eating sometimes use food as a substitute addiction; others may overeat to compensate for the stress they experience in early abstinence.
C. Elements of the eating disorder take the place of relapsing to the drug of choice.
D. All of the above are true.
30. Research shows that quitting smoking does not jeopardize substance abuse recovery and that nicotine cessation interventions in substance abuse treatment are associated with an increase in long-term abstinence of alcohol and illicit drugs.
A. True
B. False
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