Test Bank

Chapter 7: Substance Abuse: A Harm Reduction Approach (Elizabeth Eastlund and Eugenia L. Weiss)

Multiple Choice

1. What are the two drug and alcohol models used in the United States today?

a. Experimental and medical

b. Self-help and sentencing

c. Rehabilitative and treatment

*d. Moral and disease

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: MC

2. Which model believes that a person’s drug use will worsen over time and pays no attention to environmental factors?

a. Moral model

b. Rehabilitative model

*c. Disease model

d. Sentencing model

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: MC

3. What term explains the process by which an alcohol or drug user moves from experimentation to occasional use to regular use to heavy abuse to dependence and eventually to chaos?

a. Continuation of alcohol and drug use

*b. Continuum of alcohol and drug use

c. Development of alcohol and drug use

d. Dependence of alcohol and drug use

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: MC

4. The term “chaos” is closely related to what other term used in drug and alcohol treatment?

*a. Addiction

b. Sentencing

c. Harmful

d. Dependence

Cognitive Domain: Knowlege

Answer Location: Introduction

Question Type: MC

5. What are the two philosophies common in drug and alchohol treatment?

a. Cognitive and behavioral

b. Medical and rehabilitation

*c. Harm reduction and public health

d. Public health and sentencing

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: MC

6. What philosophy of drug and alcohol treatment is geared at reducing harms caused by drug use at the mezzo and macro level of the process?

a. Harm reduction

*b. Public health

c. Sentencing

d. Medical

Cognitive Domain: Comprehension

Answer Location: Introduction

Question Type: MC

7. What is the term used to describe two or more disorders?

*a. Co-occuring disorder

b. Drug and alcohol disorder

c. Concurrent disorder

d. Bipolar disorder

Cognitive Domain: Comprehension

Answer Location: Introduction

Question Type: MC

8. What three areas should be surveyed during a comprehensive assessment with a user seeking recovery?

a. Family substance use history, neighborhood, and computer literacy skills

b. Dietary habits, withdrawal symptoms, and drug use setting

c. Learning ability, drug use setting, and rationale for seeking treatment

*d. Strengths, risks and harm, and family substance use history

Cognitive Domain: Comprehension

Answer Location: Assessment

Question Type: MC

9. What is the primary goal of an assessment with someone seeking recovery from drug and alcohol?

a. To learn no-harm methods

*b. To establish safety and to build awareness of risk and harm

c. To establish new coping skills for self-medicated use

d. To be screened and to get help for drug use

Cognitive Domain: Knowledge

Answer Location: Assessment

Question Type: MC

10. What are two types of assessments used with clients in recovery?

*a. Self-reporting and alcohol screening instruments

b. Michigan Alcohol Screening Test and Drug Abuse Screening Test

c. Substance Abuse Subtle Screening Inventory and self-reporting

d. Alcohol Screening Exam and Michigan Model

Cognitive Domain: Comprehension

Answer Location: Assessment

Question Type: MC

True/False

1. When using the harm reduction philosophy, the drug user is the expert.

*a. True

b. False

Cognitive Domain: Knowledge or Comprehension

Answer Location: Introduction

Question Type: TF

2. Harm reduction practices reduce harm.

a. True

*b. False

Cognitive Domain: Knowledge or Comprehension

Answer Location: Introduction

Question Type: TF

3. Three common types of addiction are nicotine, alcohol, and drugs.

*a.True

b. False

Cognitive Domain: Comprehension

Answer Location: Introduction

Question Type: TF

4. All races use drugs and alcohol at very different rates.

a. True

*b. False

Cognitive Domain: Knowledge

Answer Location: Diversity Considerations

Question Type: TF

5. The change theory is a common behavioral model that is integrated with motivational interviewing for users in recovery.

*a. True

b. False

Cognitive Domain: Knowledge

Answer Location: Intervention

Question Type: TF

6. The role of a social worker in recovery is to provide support and education options for recovery, to facilitate the healing process, and to understand boundaries for change.

*a. True

b. False

Cognitive Domain: Comprehension

Answer Location: Current Status of Public Health Social Work

Question Type: TF

7. When a client asks about a practitioner’s substance use history, the client has crossed a boundary and should be told to facilitate their own process.

a. True

*b. False

Cognitive Domain: Comprehension

Answer Location: Transference and countertransference

Question Type: TF

8. Social workers have a responsibility to protect their clients when they disclose an intention to use drugs or alcohol.

*a. True

b. False

Cognitive Domain: Knowledge

Answer Location: Legal and Ethical concerns

Question Type: TF

9. A legal concern that social workers have about their clients is their engagement in behavior which may result in criminal charges.

*a. True

b. False

Cognitive Domain: Comprehension

Answer Location: Legal and Ethical Concerns

Question Type: TF

Short Answer

Type: S

1. Describe three services drug users can obtain through needle exchange programs beyond the receipt of clean needles.

*a. Beyond the exchange of clean needles, most programs provide basic medical care, wound checks, and HIV testing.

Cognitive Domain: Comprehension

Answer Location: Mezzo perspective

Question Type: SA

Type: S

2. What are two changes that were proposed by the Fair Sentencing Act of 2010?

*a. The Fair Sentencing Act of 2010 proposed to reduce drug sentencing disparity and to eliminate five-year sentencing for crack cocaine.

Cognitive Domain: Knowledge

Answer Location: Macro Perspective

Question Type: SA

Type: S

3. Identify the six stages in change theory.

*a. The six stages are precontemplation, contemplation, preparation, action, maintenance, and termination.

Cognitive Domain: Knowledge

Answer Location: Intervention

Question Type: SA

Essay

Type: E

1. Describe why working with substance users is complex and what social workers can do to create a more welcoming environment for this population.

*a. Working with substance users is very complex because the problem of alcohol and drug use itself is complex. Due to the uniqueness of each case, solutions are not always straightforward. Much of the macro level practice focuses on sentencing substance users to prison despite knowing that it does not help in rehabilitation. From a social work perspective, it is important to take a nonjudgmental stance and to infuse harm reduction approaches in practice.

Cognitive Domain: Comprehension

Answer Location: Conclusion

Question Type: ESS

Type: E

2. Identify and describe at least three of the realities suggested by the Harm Reduction Coalition that practitioners should explore in order to be culturally competent with the population seeking recovery.

*a. The population seeking recovery will benefit from culturally competent practice when practitioners seek to ask about their situations of poverty, class, and social inequalities. These three factors are important indicators for care because it allows the practitioner to learn more about their economic status, their economic standing prior to current situations, and the challenges of discrimination and stigma they are experiencing as a result of their use.

Cognitive Domain: Comprehension

Answer Location: Diversity Considerations

Question Type: ESS

Type: E

3. Describe the history, aim, and methodology of the harm reduction approach.

*a. The harm reduction approach does not aim to reduce harm, but to educate about the harm and risks of substance use. It recognizes the user as part of society and educate them on safer ways of using. This method was developed in the early 1980s after the increase in HIV/AIDS as a result of injection drug user.

Cognitive Domain: Application

Answer Location: Diversity Considerations

Question Type: ESS