32. Studies have shown that alcohol abuse develops into alcohol dependence in what percentage of people diagnosed as alcohol abusers?
34. It is beneficial to clearly define diagnostic criteria for alcoholism because:
A. it facilitates insurance reimbursement
B. it is less judgmental
C. it provides guidance for identifying alcoholics
D. it provides jobs in health-care and other helping professions
53. Historically, society and researchers have focused the least on the effect of drinking on an alcoholic’s:
C. need for treatment
D. life expectancy
60. Follow-up questions to a positive screening test are important to determine:
A. how to provide medical care
B. if the family should be included in an evaluation
C. a definitive diagnosis of alcohol dependency
D. the underlying causes of alcohol abuse
63. In preliminary phase of recovery, the therapist does all of the following EXCEPT:
A. confer with coworkers about clients
B. sets the stage for the client to initiate change
C. helps the client come to the realization that there is no hope that she can drink problem-free
D. insists, for the sake of a successful outcome, that the client diagnose himself as an alcoholic
65. Which of the following clinician traits most strongly influences a successful outcome to alcohol-dependency treatment?
A. being concrete
B. being empathetic
C. being confrontational
D. being a recovering alcoholic
73. Recovering families
A. are usually immediately able to return to healthy functioning families
B. rarely go through a notable transition once the drinking stops
C. must relearn how to interact with each other
D. none of these
74. The goal of AA’s 12 steps is:
A. to be dry
B. to be sober
C. to be a self-help program
D. to be able to drink problem-free
75. The recovering alcoholic who is swamped with self-doubt after making any mistake at work may need _________ to develop skills to handle negative emotional states.
A. contingency management
B. relapse prevention
C. to create a supportive social network
D. to develop a healthy and balanced lifestyle
76. Distilled liquor has higher alcohol content than fermented beverages.
77. People’s expectations of alcohol’s effects can help explain drinking motives.
78. Legislation that promotes treatment for alcohol misuse incorporates the current view of alcoholism as a treatable disease.
79. The Center for Substance Abuse Treatment accredits treatment programs.
80. Less than 10% of the population consumes 50% of all the alcohol.
81. The South has the highest proportion of abstainers, and among drinkers, the highest rate of heavy drinkers.
82. In international rankings, the United States is among the top five countries in per capita consumption.
83. In a fatal accident involving a pedestrian, it is more likely that the pedestrian has been drinking than the driver.
84. The family unit as well as the alcohol-troubled person has higher health-care costs.
85. A major component of alcohol-related health care costs is alcohol treatment
86. Alcohol related motor vehicle fatalities, involving an alcohol-impaired driver have been declining among younger drivers.
87. Less than 15% of alcohol related health care spending is on rehabilitation and treatment.
88. Suicide is almost never successful when the individual has been drinking.
89. The proportion of those with alcohol abuse and alcoholism who receive treatment now surpasses 50%.
90. Digestion must occur before the effects of alcohol can be felt.
91. Most alcohol is removed from the body through metabolism
92. The more active you are, the more quickly you will metabolize alcohol.
93. Alcohol is a stimulant.
94. If a man and a woman weigh the same amount, their blood alcohol levels will be identically affected if they both drink the same amount of alcohol.
95. Body fat absorbs alcohol.
96. Parents of get-into-everything toddlers should store perfume in the same way they store other poisonous products.
97. A person’s preconceived ideas about the effects of alcohol can affect their drinking experiences.
98. Alcoholism is incurable.
99. Alcoholism is highly treatable.
100. According to the DSM-IV TR, “substance use disorders” include alcohol dependence and alcohol abuse.
101. There is little overlap between the Diagnostic and Statistical Manual of Mental Disorders and the International Classification of Diseases.
102. George Vaillant agreed with E.M. Jellinek that alcoholism’s symptoms emerge in a predictable progression.
103. Vaillant’s study confirmed the presence of an alcoholic personality which predisposes people to develop alcohol dependence.
104. If a drug has unpleasant effects as it wears off, chances are that a person will be less likely to use the drug again.
105. Genetics are the sole determinant as to whether a person will become alcohol dependent.
106. Many researchers believe alcohol dependency springs from a dysfunctional brain reward cascade.
107. Because Muslims forbid drinking, there are very low rates of alcoholism in their population.
108. In regard to alcohol dependence, cultural differences among groups have become more marked in the past 30 years.
109. Introducing adolescents to alcohol use at home keeps them from drinking outside the home in unsupervised settings.
110. The laws in the United States about drinking and driving are much stricter than those in European countries
111. Raising the drinking age in the U.S. decreased the number of drinking-related accidents.
112. Liability concerns surrounding serving alcohol have changed the way some work establishments host company functions.
113. An example of harm reduction is the designated-driver campaign.
114. The kidneys are not greatly affected by alcohol consumption.
115. Alcohol dependent men can experience enlarged breasts and decreased testosterone production.
116. Alcohol use slows the onset of osteoporosis.
117. Delirium tremens (DTs) are the hallmark of alcohol withdrawal, and everyone who goes through alcohol withdrawal experiences them.
118. Extreme defensiveness is a key behavioral trait among alcoholics.
119. Suppressing emotions and rationalization are normal tools that people with emerging alcohol problems can use to feel good about themselves.
120. People who have reached the harmful use stage drink to feel good and have fun.
121. Drinking to feel normal is a hallmark characteristic of alcohol dependence.
122. Alcohol-dependent people disappoint their friends and family by failing to meet expectations.
123. Enabling behavior can leave the nonuser with feelings for resentment towards the user.
124. When those in the alcohol-treatment field describe alcoholism as a family illness, they are usually referring to alcoholism’s genetic components.
125. It can accurately be predicted that the family of an alcoholic will go through, in sequential order, all six stages described in “Alcoholism and the Family.”
126. Adult children of alcoholics share a defined set of personality problems caused by their experiences as children.
127. In a major research study children of alcoholic mothers have more emotional problems than children of alcoholic fathers.
128. A positive self-concept and a focus on achievement can protect the children of alcoholic parents from emotional problems.
129. With children of alcoholics, attention to protective factors means the problems are being denied.
130. Managed care has prompted better assessment, evaluation, and diagnosis of clients with alcohol-related problems.
131. Because alcohol dependency is a chronic disease, the outcome of treatment will be the same regardless of whether a person is treated in the early or late stages of dependence.
132. Screening tests are not used to diagnose alcohol dependence.
133. It is always appropriate to take an alcohol-use history after obtaining negative results from an alcohol-dependency screening test.
134. When obtaining information regarding alcohol use, queries should be directed to other drug use.
135. It is almost impossible to develop a treatment plan for clients who already have been unsuccessfully treated for alcohol dependency.
136. A successful result of alcohol-abuse treatment may be moderated drinking.
137. A goal of alcohol-dependency treatment is moderated drinking.
138. Basic, day-to-day functioning is difficult and confusing for alcoholics who are just beginning the recovery process.
139. A clinician’s concern about a client becoming dependent on AA is a legitimate basis for not making a referral to AA.
140. Feedback helps the client to see what is really going on despite their warped perception of reality.
141. To retain the focus on the client, the clinician must never reveal anything personal about herself to the client.
142. Being knowledgeable about alcohol and its effects and imparting this knowledge to a client is one of the key roles of the clinician.
143. AA is not group therapy.
144. The major goal of family treatment is facilitation of the alcohol-dependent individual’s abstinence.
145. The more aggressive a family intervention is, the more likely it is that the intervention will achieve its desired effect.
146. In family treatment, the clinician focuses more on interactions and behaviors than on specific, hurtful incidents from the past.
147. Al-Anon gives family members suggestions for methods to reduce or stop the alcoholic individual’s drinking.
148. “We admitted we were powerless over alcohol-that our lives had become unmanageable” is AA’s twelfth step.
149. AA members report that in the past 25 years, treatment programs have become significantly more important in members’ recovery from alcohol dependency.
150. Relapse prevention has always been a mainstay of alcohol-dependency treatment.
151. Individual counseling is the main component of effective treatment.
152. Early self-disclosure can be countertherapeutic.
153. Activity groups are the most common type of group in alcohol-treatment programs.
154. Alcoholics Anonymous was formed by the American Medical Association.
155. Activities therapy keeps people busy so they can have a break from thinking about their alcohol-related problems.
Essay 60 points each
156. Describe in detail the effects of alcohol on the Central Nervous System, brain, neurotransmitters, and the degree of intoxication and effect related to blood alcohol level.
157. Describe and explain the Public Health Model of alcohol dependence.
158. Explain in detail Vernon Johnson’s developmental model of alcohol dependence.
159. Explain blood alcohol concentration, breakdown and removal of alcohol from the body.
160. Describe and explain the Withdrawal Syndromes.
161. Describe liver disease in relation to alcohol.
162. Describe what and how differences in women effect the consumption, absorption, and metabolism of alcohol.
163. Describe in detail how the alcohol beverage industry targets underage youth.
164. Name and describe the elements of relapse prevention.