Chemical Dependency A Systems Approach 4th Edition Mcneece Test Bank
Chemical Dependency A Systems Approach 4th Edition Mcneece Test Bank
Chemical Dependency A Systems Approach 4th Edition Mcneece Test Bank
for
Chemical Dependency
A Systems Approach
Fourth Edition
Pearson Education
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ISBN-10: 0-205-78766-5
ISBN-13: 978-0-205-78766-1
Contents
Chapter 1 Definitions and Epidemiology of Substance Use, Abuse,
and Disorders 1
Chapter 14 Alcohol and Drug Misuse and Abuse in Late Life 115
LEARNING OBJECTIVES
• Students will be able to define terms associated with substance use,
abuse, and disorders.
• Students will be able to discuss the variation and imprecision in the
use of these definitions among professionals.
• Students will be able to understand the incidence and prevalence of
legal and illegal substance use.
DISCUSSION PROMPTS
1. Do you agree with the author that the term substance is technically
more appropriate than the term drug? Why or why not? Consider the
reason why people use substances.
2. What is the difference between substance use, misuse, and abuse?
Consider and discuss the reasons why these different terms might be
applied. Use examples.
6. Suppose you suspect a 15 year old of using drugs. What is the most
likely drug he is using, given that this drug was the most commonly
used drug among 14 and 15 year olds in 2007?
A. Opium
B. Crack
C. Marijuana
D. Ecstasy
Answer: C
Difficulty: 1
9. Marijuana was once legal in the United States but was prohibited in
1937. Some states currently allow the use of marijuana for medicinal
purposes. What are some of the historical uses for marijuana in Mexico
that might also justify medicinal use today?
A. Mild euphoria
B. Stimulus for agricultural economy
C. Headache remedy, stimulant
D. Headache remedy, relaxant
Answer: D
Difficulty: 1
10. Which phrase shows the correct ranking of drug use over a lifetime for
all races and ages, from most to least used?
A. Alcohol, tobacco, marijuana, prescription drugs
B. Tobacco, alcohol, marijuana, prescription drugs
C. Prescription drugs, alcohol, tobacco, marijuana
D. Tobacco, alcohol, prescription drugs, marijuana
Answer: A
Difficulty: 3
13. A 45-year-old man you know drinks three alcoholic beverages every
night after work. He gets up the next morning for work and performs
his duties successfully. He has high blood pressure and gout but does
not suffer from any other physical or psychological problems. He does
not drink on weekends. This man is ________.
A. definitely an alcoholic
B. not a heavy drinker
C. definitely addicted to alcohol
D. probably a problem drinker
Answer: D
Difficulty: 3
Essay Questions
LEARNING OBJECTIVES
• Students will be able to describe several different theories of why
people use drugs.
• Students will be able to discuss a four-stage model of alcoholism and a
three-stage model of cocaine addiction.
• Students will be able to understand a multicausal model of addiction.
DISCUSSION PROMPTS
1. Why might a person who abstains from using a drug for two years
experience a reappearance of addiction symptoms when re-exposed to
using the drug? Discuss this question in terms of the three primary
assumptions on which the disease model of addiction rests
(predisposition to use, loss of control over use, progression).
2. Why are there so many theories of addiction? Consider the adequacy
of each theory in relation to the complex nature of addiction.
3. What is the moral model of addiction? Is it valid? Why or why not?
Consider how moral views on addiction affect social programs.
4. How does a multicausal theory of addiction synthesize
pharmacological, experiential, cultural, situational, and personality
components? Consider the utility of such an interdisciplinary model in
clarifying how the agent, host, and environment interact.
5. How do biological theories of addiction compare with the disease
model of addiction? Consider the basis of responsibility for treatment
and the terminology used.
1. Under which theory of addiction does the following fall? The need for
variety and the desire to experience pleasure
A. Psychodynamic
B. Supracultural
C. Genetic
D. Cognitive-behavioral
Answer: D
Difficulty: 1
2. Under which theory of addiction does the following fall? Not having a
means for attaining upward economic mobility in a society that expects
it
A. Psychodynamic
B. Supracultural
C. Subcultural
D. Learning/reinforcement
Answer: B
Difficulty: 1
11. Which statement best supports the prediction that the potential for
substance addiction is not based in personality?
A. Significant personality factors can contribute to addiction.
B. Empirical research on personality theories has waned.
C. Apart from the relatively rare occurrence of the antisocial
personality, alcoholics have not been found to exhibit specific
personality traits.
D. Underlying personality problems cause substance abuse rather
than substance abuse resulting in personality problems.
Answer: C
Difficulty: 3
13. A person who started drinking three beers per night one year ago finds
that he now needs to drink five beers per night to feel the same level
of intoxication. At which stage in Jellinek’s model is this person?
A. Prealcoholic symptomatic phase
B. Prodromal phase
C. Crucial phase
D. Chronic phase
Answer: A
Difficulty: 2
14. A person who drinks five beers every night, increased from three beers
per night one year ago, starts experiencing blackouts when he drinks
even more heavily on the weekends. At which stage in Jellinek’s model
is this person?
A. Prealcoholic symptomatic phase
B. Prodromal phase
C. Crucial phase
D. Chronic phase
Answer: B
Difficulty: 2
15. A man blacks out often after drinking spirits. He lost his job early last
year and started drinking at a bar with people who have spent most of
their life on welfare. This year his wife left him. His knows his life has
gone downhill, and he begins to experience vague religious desires. At
which stage in Jellinek’s model is this person?
A. Prealcoholic symptomatic phase
B. Prodromal phase
C. Crucial phase
D. Chronic phase
Answer: D
Difficulty: 1
Essay Questions