Post Test: Women’s Addiction Treatment
Text: Practical Approaches in the Treatment of Women
Who Abuse Alcohol and Other Drugs
A SAMHSA/CSAT Publication
Exam copyright © 2000 by:
Institute of Addiction Awareness
24881 Alicia Pkwy., #E-519
Laguna Hills, CA 92653-4696
949-643-3802
A. Introduction
1. The body of research on which to base the design and implementation of strategies for women's substance abuse treatment is:
A. limited. B. comprehensive.
C. not large. D. equal to men's.
2. Across all program components of care for women,
providers are mandated to provide advocacy in
accessing all services needed.
A. TRUE B. FALSE
B. Overview
3. Any use of an illegal substance should be considered:
A. recreational if it does not interfere with a woman's functioning at home or at work.
B. abuse.
C. dependence.
D. self-defeating behavior.
4. One of the limitations of the NHSDA research about women who abuse substances is:
A. there is less of it than for men.
B. rural areas are not represented as well as urban areas.
C. women are more likely to give false information than men.
D. women who are incarcerated, undocumented, homeless or living in residential or hospital-based treatment programs are not included as part of the sample.
5. The most commonly abused substance among women is:
A. amphetamines. B. cocaine.
C. alcohol. D. marijuana.
6. Caucasian women are much more likely to use alcohol once per week or greater than Hispanic women.
A. TRUE B. FALSE
7. The gender differences in reported heavy alcohol abuse ________ between 1985 and 1992:
A. have decreased B. have increased
C. have remained the same D. were not studied
8. Women with alcohol problems are disabled ________ __________ and for ______ _________ than are men.
A. as frequently/the same period
B. less frequently/shorter periods
C. more frequently/longer periods
D. less frequently/longer periods
9. Women who use oral contraceptives metabolize alcohol
faster than women who do not use oral contraceptives.
A. TRUE B. FALSE
10. Women who have been the sexual partners of injection drug users in the past are at ___________
A. no greater risk for HIV infection than the general population.
B. the least risk for HIV infection among substance abusers.
C. the greatest risk for HIV infection.
D. slightly higher risk for HIV infection.
11. What effect on recovery from addiction to alcohol or other drugs does the use of lithium in a client with bipolar affective disorder have?
A. None
B. Significant
C. Variable from client to client
D. Has not been established
12. What types of drugs generate the most substance abuse problems for older people?
A. Alcohol and prescription psychotropic medications.
B. Benzodiazepine tranquilizers and mood enhancers.
C. Alcohol and prescription pain medication.
D. Analgesics and benzodiazepine tranquilizers.
13. What was the estimated cost of alcohol-related hospital care in 1990?
A. The cost was not calculated
B. $16 billion
C. $60 billion
D. One-fifth of the hospital healthcare budget
14. Fetal Alcohol Syndrome is now considered:
A. a minor complication of drinking while pregnant.
B. rare unless the mother is a chronic alcoholic.
C. a leading cause of mental retardation in the United States.
D. seen only in women of color, most often American Indian women.
15. Researchers estimate that each year ____________ newborns are exposed perinatally to at least one illegal drug, with significant consequences.
A. 37,500 B. 375,000
C. 3,750,000 D. none of the above
16. What percentage of convicted female inmates stated they committed their offense under the influence of drugs?
A. fewer than 15% B. more than 75%
C. nearly 40% D. equal to 60%
17. Who is less likely to suffer from an alcohol disorder?
A. A homeless woman with children.
B. A homeless woman without children.
C. There is no statistical difference between A. and B. above.
D. There were no statistical studies conducted which answer this question.
18. Lesbian adolescents begin to use drugs:
A. similarly to heterosexual adolescents.
B. if their partner is involved in the drug culture.
C. to reduce their sexual desires.
D. to reduce anxiety and pain when they become aware of their sexual orientation.
19. Among women aged 15 to 34, cirrhosis rates for African American women are:
A. the same as for Caucasian women.
B. six times higher than for Caucasian women.
C. six times lower than for Caucasian women.
D. not available at this time.
20. What is the predominant health problem for American Indian women?
A. depression B. fetal alcohol syndrome
C. alcoholism D. diabetes
C. Introduction to Treatment
21. According to the Comprehensive Treatment Model, “Treatment that addresses alcohol and other drug abuse only:
A. may be very successful and contribute to a lower potential for relapse.”
B. is as successful as those offering services related to the needs of women with children.”
C. is not responsible for providing access to child care or other services women identify as important in their recovery.”
D. may well fail and contribute to a higher potential for relapse.”
22. From CSAT’s perspective, which of the following IS NOT a goal of treatment service and recovery programs?
A. Reduce alcohol and other drug use by individuals significant to the abuser.
B. Improve family, social and economic functioning.
C. Aattract and retain individuals in treatment and recovery.
D. Reduce rates of relapse by these individuals.
23. Research has demonstrated that clients may experience varying degrees of success with different modalities at different times.
A. TRUE B. FALSE
24. Treatment for which of the following substances usually includes rehabilitative counseling, psychotherapeutic services, and comprehensive medical services?
A. alcohol
B. amphetamines
C. polysubstance abuse
D. methadone
25. Outpatient detoxification services are __________ than inpatient detoxification services.
A. more common
B. less common
C. as common
26. The ability to discuss sexuality and intimacy issues with women is _______ for staff members.
A. a must
B. important for senior therapists
C. an advantage but not necessary for successful recovery treatment
D. important only if the women seen are at high risk for HIV infection
27. _________ of women in treatment for alcohol and other drug abuse report being the childhood or adult victims of sexual abuse, including incest.
A. Between 10 and 35 percent
B. Between 14 and 74 percent
C. Between 35 and 75 percent
D. Between 41 and 74 percent
28. Alcohol abuse by lesbians has been identified as:
A. a cause of violence among partners.
B. an effect of violence among partners.
C. unrelated to violence among partners.
D. both A and B above
29. Childcare and attention to parenting must be major components of treatment for women:
A. who cannot provide these services for themselves.
B. because drug addicted mothers are dysfunctional and have a great need for parenting training.
C. to help ensure retention in treatment and continued recovery in follow-up.
D. to secure funding from community and social services agencies.
30. Dual diagnosis in substance abuse treatment can best be defined as:
A. a common broad term that indicates the simultaneous presence of two independent medical conditions.
B. addiction to or dependence upon two or more classes of chemicals.
C. the abuse of alcohol or other drugs by a person who is developmentally delayed.
D. none of the above
D. Outreach
31. Women who have substance abuse problems are often perceived as:
more "socially acceptable" than their male counterparts.
B. less responsible than their male counterparts.
C. equally "socially acceptable" as their male counterparts.
D. less "socially acceptable" than their male counterparts.
32. Women in treatment are likely to have more contact than men in treatment with:
A. the criminal justice system.
B. social services.
C. voluntary gender-specific groups.
D. church programs.
33. What service must be available to make inpatient and outpatient services available to mothers?
A. Social services
B. Family law services
C. Child care
D. Health care
34. An obstacle to successful outreach to adolescent girls might be:
A. a false sense of bravado and a willingness to take risks.
B. feelings of ambivalence and confusion about alcohol.
C. A and B
D. Neither A nor B
35. Physicians and other primary health care practitioners:
A. often do not diagnose substance abuse problems among the older female population.
B. seldom fail to diagnose substance abuse problems among the older female population.
C. often over-diagnose substance abuse among the older female population.
D. are generally unconcerned about substance abuse among the older female population.
36. Fear of the medical and social welfare systems:
A. is used as an excuse to avoid treatment by addicted mothers of young children.
B. may be prevalent among pregnant and postpartum women, particularly young poor women.
C. is most common among women who are HIV positive.
D. is secondary to fear of the criminal justice system among addicted women.
37. At what point is it appropriate for program staff to set specific program goals and objectives for treating women?
A. After identifying the target population.
B. Six months after initiating outreach activities.
C. While networking with community service agencies.
D. Before initiating outreach activities.
38. It is not necessary for all written materials to be culturally sensitive as long as they are easy to read and relevant to women targeted for services.
A. TRUE B. False
39. The most effective way to encourage substance-abusing women to enter treatment is:
A. one-to-one personal contact.
B. court or probation referrals.
C. women's health centers.
D. B and C
40. The success of program outreach efforts depends in large part on:
A. the charisma of the outreach workers.
B. the perceived necessity for services by community leaders.
C. the strength of relationships with community-based groups and other service agencies.
D. A and C
E. Comprehensive Treatment
41. What is the overall goal of the intake, orientation and assessment process?
A. To determine the factors that resulted in the client's seeking treatment.
B. To begin to develop a counseling relationship with the client.
C. To gather information about the client's mental health history.
D. To establish a foundation for a positive, trusting relationship between the client and the counselor.
42. When should a preliminary discussion of the disease of addiction take place?
A. When developing the treatment plan.
B. During the intake interview.
C. Throughout the treatment process.
D. When family or significant others are present.
43. It is particularly important that clients are tested for which infectious disease and that treatment is initiated immediately if the client meets criteria for treatment?
A. Tuberculosis
B. HIV/AIDS
C. Hepatitis C
D. All of the above
44. What serves as the fundamental basis for providing care to the client throughout her treatment process?
A. State and Federal mandates
B. Program philosophy and practices
C. The treatment plan
D. 12-step principles
45. The best time to counsel a woman in treatment about pregnancy and sexual practices is:
A. when she is pregnant.
B. immediately after delivery.
C. before she becomes pregnant (preconception counseling).
D. when she asks for information about family planning.
46. Establishing a network of voluntary child care arrangements for women clients is:
A. an inappropriate function for a treatment program.
B. highly recommended for the treatment program.
C. the responsibility of social services agencies.
D. the responsibility of the client.
47. It is a sound therapeutic practice for counselors to help clients view assertiveness as a social skill relevant to recovery.
A. TRUE B. FALSE
48. When determining how to approach an African-American client, counselors should keep in mind that:
A. there are few if any regional cultural differences in African-American culture.
B. African-Americans are less class-conscious than white Americans.
C. more stereotypes exist for African-Americans than for other minority groups.
D. there are regional cultural differences in the behaviors of African-American women.
49. Criminal justice and treatment personnel should:
A. develop their own messages to ensure that clients understand the different mandates of each program.
B. work together to ensure that each conveys similar messages to female clients.
C. work separately on discrete aspects of the client's social situation.
D. have a system in place to ensure that all substance use is reported to the criminal justice system.
50. Sometimes a woman's physical disability may be a minor or irrelevant factor in her substance abuse problem.
A. TRUE B. FALSE
F. Continuing Care
51. Continuing care for women is:
A. a luxury service rare in the managed care environment.
B. possible only for women with extensive support networks.
C. appropriate only for women without support networks.
D. an essential component of effective substance abuse treatment programs.
52. What is the role of the case manager during continuing care?
A. To facilitate continuing comprehensive care and follow-up services.
B. To organize referral to community services.
C. To maintain an accurate record for criminal justice and social service agencies as mandated by law.
D. both B and C
53. Continued relapses may indicate:
A. serious psychiatric problems.
B. a woman's need for the treatment program's continued support.
C. A and B
D. None of the above
54. Staff of treatment programs should tell clients that:
A. recovery is most difficult in the first year.
B. recovery is a lifelong process.
C. recovery is the equivalent of sobriety.
D. recovery is the same as abstinence.
55. Women may need frequent, high-intensity reinforcement for their recovery efforts:
A. during the first year or two of recovery.
B. during times of emotional stress.
C. at any time for the rest of their lives.
D. when community resources are limited.
56. Job readiness is essential:
A. prior to discharge.
B. during aftercare.
C. throughout the ongoing treatment process.
D. both A and B
57. Services for women who are terminally ill are not considered part of continuing treatment.
A. TRUE B. FALSE
58. Part of an effective discharge plan for women involved in abusive relationships is:
A. assertiveness training.
B. couples counseling.
C. a "safe plan" which includes strategies for immediately resolving abuse issues in the future.
D. all of the above
59. Programs can help women by developing networks of recovering people who will volunteer to serve as temporary sponsors and act as "big sisters" to women reentering the community after treatment.
A. TRUE B. FALSE
60. Confidentiality:
A. is less significant during the follow-up process than in the treatment process.
B. is governed by different laws in the follow-up process than in the treatment process.
C. must be carefully observed in the follow-up process.
D. has no relevance to the follow-up process.
G. Program Management
61. The substance abuse treatment program's policies and procedures should be based on:
A. the reality of women's lives.
B. valid treatment assumptions.
C. respect for clients.
D. All of the above
62. How often should the training needs of program staff be evaluated?
A. On an annual basis as part of each staff member's performance evaluation.
B. As preparation for audit by state or Federal officials.
C. On an ongoing basis.
D. Whenever a client lodges a complaint against a staff member.
63. Management should encourage staff to identify their own training needs when developing a training program.
A. TRUE B. FALSE
64. Commitment to engage, treat and retain women in treatment must begin with:
A. all program staff members.
B. program administration.
C. community commitment to the program.
D. A and B above
65. Which ethical principle requires that each person must be given her/his due and that equals must be treated equally?
A. Autonomy
B. Beneficence
C. Equity
D. Non-malevolence
66. Which ethical principle requires that social institutions, such as treatment programs, should not impose harm or evil upon those affected by their actions?
A. Autonomy
B. Beneficence
C. Equity
D. Non-malevolence
67 Which ethical principle requires that when beneficial goals are agreed upon by program managers, staff members and clients, they should be pursued?
A. Autonomy
B. Beneficence
C. Equity
D. Non-malevolence
68. Which ethical principle requires the capacity to reason and to alter one's decisions and plans based on such reasoning and to act on the basis of one's decision?
A. Autonomy
B. Beneficence
C. Equity
D. Non-malevolence
69. Compared to men, women in treatment need:
A. fewer and more similar comprehensive services.
B. fewer but different comprehensive services.
C. more and different comprehensive services.
D. the same comprehensive services.
70. Strategies to ensure financial sustainability must be a part of every treatment program's:
A. strategic plan.
B. development plan.
C. business plan.
D. community action plan.
H. Commentary
71. CSAT describes addiction as:
A. an acute condition treatable by social model programs.
B. a psychiatric illness requiring intensive medical management.
C. a chronic condition that is characterized by relapse on the part of many clients.
D. A and B above
72. It is necessary to establish successful relationships with the staff of health and social services agencies to meet the comprehensive needs of women in treatment.
A. TRUE B. FALSE
73. In order to survive, treatment programs MUST:
A. secure enough government funding to treat all their clients.
B. receive funding from sources other than the government.
C. affiliate with a voluntary or religious community organization.
D. maintain a 25% or greater private pay contingent of clients at all times.
74. Cultural competency is characterized by:
A. respect for a diverse client population.
B. staff having ethnic and racial diversity.
C. A and B above
D. delivering services in the federally mandated threshold languages represented in the client population.
75. Safety of the treatment environment is:
A. of little importance to most clients.
B. of particular importance for women and their children.
C. the responsibility of community law enforcement agencies.
D. important in the detoxification phase of treatment.
76. The full continuum of health and other care providers, alcohol and other drug prevention and treatment providers, and public and community-based organizations involved in providing services to women, children and families is a:
A. service delivery system.
B. comprehensive treatment program.
C. recovery network.
D. seamless system of care.
77. Any occasion of alcohol or other drug use by a recovering person when such use violates her/his own prior commitment to recovery is known as:
A. a slip.
B. abuse.
C. denial.
D. relapse.
78. According to the CSAT Comprehensive Model for Alcohol and Other Drug Abusing Women and Their Children, the establishment of universal precautions against the spread of STDs is essential:
A. at intake and during assessment.
B. throughout all aspects of treatment.
C. in programs for I.V. drug abusers.
D. All of the above
79. How soon should intake services be offered to women seeking treatment for a substance abuse problem?
A. After a client has abstained from substances for a predetermined period of time.
B. The same day contact is made, whenever possible.
C. As soon as possible after the client has completed pre-intake procedures established by the program.
D. Within one week of the initial contact with the client.
80. Should early intervention services be available to the children of women in treatment for substance abuse?
A. YES B. NO
