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According to Jellinek's model (no longer considered accurate but still of scientific interest) , an individual with alcoholism progresses through four stages. Which of the following INCORRECTLY describes the characteristic behaviors associated with each of Jellinek's stages?


A) Prealcoholic stage - hangovers, DWI or DUI charges, blackouts
B) Prodromal stage - drinking heavily but few outward signs of problems
C) Chronic stage - primary daily activities involve drinking and getting drunk
D) Crucial stage - loss of control with occasional binges

E) A) and B)
F) A) and C)

Correct Answer

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The opiate-antagonist naltrexone is a treatment for substance abuse that works by


A) substituting a chemically similar drug for the addictive drug.
B) both counteracting the effects of opiates and producing withdrawal symptoms.
C) producing a cross-tolerance effect in a drug user.
D) producing only a temporary euphoric effect if opiates continue to be used.

E) C) and D)
F) A) and B)

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You have just heard about a situation in which someone who was drunk vandalized a building and assaulted a security guard. From your knowledge of abnormal psychology, you are aware that although alcohol does not cause aggressive behavior, it may


A) stimulate the inhibitory center of the brain, causing aggressive behavior.
B) activate the aggressive genes in the person's DNA.
C) impair the ability to consider the consequences of acting impulsively.
D) increase the anxiety associated with being punished for one's actions.

E) None of the above
F) C) and D)

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Research that asks individuals to indicate their frequency of alcohol use found that alcohol use is highest among ______________.


A) Hispanics
B) Asian Americans
C) Caucasian Americans
D) people with multiracial backgrounds

E) A) and C)
F) C) and D)

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C

The "pleasure pathways," or internal reward centers, in the human brain are primarily made up of ______________.


A) dopamine-sensitive neurons
B) serotonin-sensitive neurons
C) both of these
D) neither of these

E) A) and B)
F) A) and C)

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Alcoholism and substance abuse, previously considered a , is now conceptualized by many as a disease.


A) sociopathic personality disturbance
B) schizophrenic-like behavioral pattern
C) type of dependent personality disorder
D) hysterical conversion syndrome

E) B) and C)
F) C) and D)

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Which of the following are examples of opioids?


A) Chemicals in the poppy
B) Hydrocodone
C) Enkephalins
D) all of the above

E) B) and C)
F) A) and B)

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Contingency management involves


A) the use of reinforcement for specific behaviors.
B) the elimination of abuse cues.
C) altering expectations.
D) use of medications to create substance aversions.

E) C) and D)
F) B) and C)

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Drug­addicted parents may contribute to their child's drug use by


A) failing to monitor the child's behavior.
B) making drugs available to child.
C) creating an environment where peers use drugs.
D) all of the above

E) A) and D)
F) A) and C)

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A

Legally available narcotic medications, including morphine and codeine, are used primarily as .


A) antagonists
B) analgesics
C) antibiotics
D) antidotes

E) A) and B)
F) A) and C)

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Enkephalins and endorphins are natural opioids found in .


A) the brain
B) the humoral system
C) DNA
D) poppy seeds

E) A) and D)
F) C) and D)

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Nikki has decided to stop smoking (again) . She can expect to experience which of the following withdrawal symptoms?


A) Elevated mood
B) Decreased appetite
C) Weight loss
D) Irritability

E) A) and B)
F) C) and D)

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Among the so-called recreational or illicit "designer drugs" is a dissociative anesthetic that produces a sense of detachment along with a reduced awareness of pain. It is called .


A) Ecstasy (MDMA)
B) "K" or "Special K"
C) Eve
D) Nexus

E) A) and C)
F) None of the above

Correct Answer

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Substance abuse can be seen from either a biological or a psychosocial perspective. For example, the condemnation of drug abuse as an official sin by the Catholic Church is an example of .


A) the moral weakness model
B) the disease model of dependence
C) the AA model of drug dependency
D) a 12-step program

E) A) and B)
F) None of the above

Correct Answer

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Differences in fetal alcohol syndrome (FAS) rates among women who drink may be due to differences.


A) cultural/racial
B) cognitive
C) metabolic
D) emotional

E) None of the above
F) B) and D)

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All of the following are symptoms of withdrawal from alcohol EXCEPT .


A) nausea and/or vomiting
B) hypersomnia
C) transient hallucinations
D) agitation

E) A) and D)
F) All of the above

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The drugs that directly stimulate the internal reward center or pleasure pathways in the brain include _______________.


A) amphetamines and cocaine
B) the opiates
C) all of these
D) none of these

E) All of the above
F) A) and C)

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The drug called Antabuse helps people abstain from drinking alcohol by


A) causing alcoholic drinks to taste bitter.
B) disrupting breakdown of a byproduct of alcohol, leading to feelings of illness.
C) making people allergic to alcohol.
D) reducing the pleasurable feelings that are associated with alcohol.

E) B) and D)
F) A) and B)

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B

Health-wise, marijuana


A) wards off nausea.
B) eases pain associated with multiple sclerosis.
C) contains as many carcinogens as tobacco smoke.
D) all of these

E) A) and B)
F) None of the above

Correct Answer

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In terms of substance­related disorders, the word "addiction" is most closely associated with .


A) substance use
B) intoxication
C) drug dependence
D) polysubstance abuse

E) None of the above
F) B) and C)

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