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A wife refers her husband for substance abuse counseling. His drug of
choice is cocaine which he has been using episodically with friends at a
poker game (biweekly to weekly) for some years. She is disturbed at the
illicit nature of the drug and the long standing use. He stated that though
he recreationally uses, he doesn't crave cocaine, doesn't seek it out but
rather uses with friends at the game who bring it. He feels that other
than his wife being upset, he has no other social or occupational issues.
Given the information provided, how is his use of cocaine BEST
,described? - ANSWER ✔✔IT IS NOT described as: Substance
abuse, cocaine intoxication, or cocaine use disorder.
What is Neuroplasticity? - ANSWER ✔✔the ability of the brain to form
and reorganize synaptic connections following an injury or longterm drug
use.
What does the experienced effect of a drug depend upon? -
ANSWER ✔✔1.amount taken & past experiences
2.mode of administration
3.poly drug use
How is drug tolerance BEST described? - ANSWER ✔✔A
(Decreased) sensitivity to a drug overtime
List some drug cues or triggers: - ANSWER ✔✔1.Prior drug use
setting
2.Drug Paraphernalia
3.Seeing others use
What does (SASSI) stand for & what is it? - ANSWER ✔✔(Substance
Abuse Subtle Screening Inventory)
,a brief self-report questionnaire that identifies substance use disorder.
For adults & adolescents. now there's 3rd edition (SASSI-3) for adults.
(67 true & false items & a 26 item self report questions)
What happens as tolerance for barbiturates develops? - ANSWER
✔✔The margin between intoxication & lethality stays the same.
What is the MOST common symptom of Wernicke's encephalopathy? -
ANSWER ✔✔Confusion
What does (formication) refer to? - ANSWER ✔✔The sensation of
bugs crawling on skin.
Or (Magnon's syndrome)
What is the organ most damaged by cocaine abuse? - ANSWER
✔✔The Heart
List (3) basic chemical classes of amphetamines: - ANSWER
✔✔1.Methamphetamine (meth)
2.Amphetamine Sulphate (speed)
3.Dextroamphetamine (Dexy's)
In terms of difficulty quitting (dependence), which of the following drugs
ranks the highest? - ANSWER ✔✔Nicotine
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, THC content in marijuana varies widely.
True or false? - ANSWER ✔✔True
Regarding substance abuse, what does the Convergence Theory
propose? - ANSWER ✔✔Rates of substance abuse among women
are converging with men.
Which subcategory of alcohol use disorder onset is NOT found in the
elderly? - ANSWER ✔✔(Early onset) alcoholism
At an initial meeting with a new client, what is the FIRST requirement? -
ANSWER ✔✔Establish Rapport
What does motivational interviewing primarily involve? - ANSWER
✔✔Supportive Persuasion
What percentage of individuals with a dual diagnosis (co-occurring
disorders) received treatment for only their mental illness? -
ANSWER ✔✔32.9% percent
What factors can affect screening instrument validity? - ANSWER
✔✔1.setting/privacy
2.rapport/trust
3.clear instructions