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94 questions have been provided. You must answer 80% correctly to pass.



Addressing Behavioral Health Needs of Men: Substance Abuse

A sociocultural construct that defines expected characteristics of men and women is:

culture sex gender race

A pattern of repeated drug self-administration that can result in tolerance for the drug , withdrawal, and compulsive drug-taking behavior is:

Substance abuse Substance hazardous use Substance misuse Substance dependence

Maladaptive pattern of substance use manifested by recurrent and significant adverse consequents related to the repeated use of substance is:

Substance dependence Ideologies Substance abuse Substance abuse treatment

Which contributes to a shared and necessary sense of belonging?

Cultures Ritual Alcohol Abuse SAMHSA

A systems of values, beliefs, or ideas shared by a social group and often presumed to be natural or innately true is:

Ideology Culture Habit Ethnicity

The inability to experience and communicate feelings is:

Aggressiveness Dependence Invulnerability Alexithymia

Whose study showed that Alcohol, when combined with higher levels of irritability,leads to more aggressive behavior in men; but not in women?

Addis and Mahalik(2003) Giancola(2002) Good and Sherrol(1997) Case and Paxson(2005)

Gender roles do not vary according to social role.

True False

“Rigid ,sexist, or restrictive gender roles result in personal restrictions, devaluation or violation of others or self”when:

Gender role conflict occurs Men substance abuse occurs Masculine role stress occurs Competition occurs

The most common illicit drug used is :

alcohol marijuana Heroin Cocaine

The drug used more frequently and in greater quantities is :

marijuana Heroin Alcohol Cocaine

The trainings offered by Addiction Technology TransferCenters (ATTCs) related to men’s issues in treatment include:

Men in Therapy Anger Management Counseling Alcohol and Drug Dependent Men Both a and b

A client’s general strengths and problems are identified using:

Comprehension Gender aware personal assessment Family history assessment Screening and assessment

The primary goal of screening mentioned in the course is:

Improving cultural competence To screen for alcohol problems To identify men who need a comprehensive problem assessment Screening of hospitalized trauma patients

The 3 steps in comprehensive substance abuse assessment are:

Screening ,comprehension and assessment Screening, problem assessment and personal assessment Screening, gender-aware assessment and problem assessment Screening, attitude assessment and personal assessment

The testing method used for the screening of current or recent use of alcohol:

urine and oral fluid hair tests breath analysis None of these

Assessment of substance abuse or dependence should focus on :

Consequence of use Physical examination Employment status and work history Housing status and needs

The testing method that defines the nature and consequences of substance use during a circumscribed period of time is:

Physical examination Breath analysis Timeline follow-back procedures Conflict Tactics Scale

The first step in gender-aware screening should be to identify substantive areas such as:

Consequences of substance use Common signs and symptoms of a substance use problem Breath analysis Housing status, work history and legal issues

The areas included specifically in male assessments are:

Family history, sexuality and shame Spirituality Criminal justice involvement and legal issues Relapse risk and recovery support

A rating scale that can quantify personal endorsement of traditional concepts of masculinity is:

timeline follow-back procedures Conflict Tactics Scale Gender Role Conflict Scale None of the above

The instrument screens for childhood exposure to physical, sexual, and emotional abuse and physical and emotional neglect is:

Physical examination Childhood Trauma Interview Male Role Norms Scale The Brannon Masculinity Scale

One of the instruments that help the clinicians to assess domestic violence risk is?

Childhood abuse and neglect risk Family history risk The Historical clinical risk management Relapse risk

A self-report scale that measures risk for exposure to sexually transmitted disease based on engagement in specific sexual behaviors in the previous 6 months is:

Sexual Compulsivity Scale Sexual Risk Scale Sexual Sensation Seeking Scale Male Role Norms Scale

Shame that can cause someone to focus on himself and his inferiority is known as :

Bypassed shame Experiential Shame State Shame Guilt

A measure of how likely someone is to feel shame is:

Differential Emotions Scale Experiential Shame Scale Guilt Scale Self-Conscious Affect-3

A measure of current feelings of shame is:

Self-Conscious Affect-3 Experiential Shame Scale Guilt Scale both b and c

Initial steps for clinicians in behavioral health settings include:

Developing rapport Establishing kinship Behaviors based on gender role socialization All of the above

Which process,if done in the best interest of the client, can help to move sensitive topics into the open, thus giving clients permission to begin telling about themselves.

Counseling Motivation Treatment seeking Self disclosure

Confrontation about behavior and right/wrong issues always increases

Resistance Independence Confidence Courage

Visual mapping techniques are usedby clinicians in treatment:

Timelines Node-link maps Genograms All of the above

Eco-maps are graphic portrayals of personal and family social relationships

True False

In behavioral health counseling, attributes that clients assign to their counselors refers to:

Eco-maps Countertransference Transference None of these

One of the most difficult issues to address in any counseling context is :

Gender bias Shame Emotional intensity Sexualized transference

The most potent countertransference issues female counselors may experience inworking with men are :

Fear,unresolved anger and sexual attraction Competitiveness and violence Both a and b None of the above

The magnitude of the anger felt at a given time is:

Trait anger State anger Stigma None of these

An individual’s disposition to experience anger in different situations is referred to as:

Trait anger Stigma State anger None of these

The techniques for managing the physiological components of anger is:

Taking time out Cognitive restructuring Conflict resolution Breathing and relaxation

The techniques that make clients aware of their self-talk while helping them actively stop and revise their counterproductive thought processes is:

Taking time out Cognitive restructuring Conflict resolution Breathing and relaxation

Emotional vulnerability is critical if men are :

To be nurturing, loving, and caring husbands and fathers Engaging in non stereotypical activities Enjoying competitive male activities like sports and work. None of these

The feelings that result from social attitudes that label certain people, behaviors, or attitudes as disgraceful or socially unacceptable is:

Shame Anger Stigma None of the above

Men who break gender norms, violate the norms of a social group or fail to live up to the group’s expectations can be subjected to :

Anger Emotional intensity Shame Cultural stigm

Pride in oneself is a major counter to shame.

True False

The most commonly reported substance in cases of violent crime is:

Cocaine Alcohol Methamphetamine Marijuana

To reduce violent behavior in men, behavioral health service

providers use:

Cognitive–behavioral therapies Anger management Both a and b None of the above

Violence is transmitted across generations in the general population


True False

The risk factors associated with the involvement of young people in violence and substance use are:

Domestic abuse and Child Abuse High number of relationship problems High levels of emotional distress All of the above

Women were more likely to report having committed serious violence toward their partners than having been victims of such violence True/False?

True False

Men who have been abused by their partners may be even less willing to seek help than women because:

The majority of domestic violence programs are designed for women They feel that the justice system will not support them The shame of not being able to keep their partners under control All of the above

A substance abuse treatment approach designed specifically to improve relationships and significantly reduced domestic violence is:

Behavioral couples therapy Behavioral marital therapy a and b Conflict Tactics Scale

A term used to refer to a broad range of behaviors involving problems of sexual control and preoccupation that result in psychological distress is:

Anxiety disorders Sexual dependency Sexual orientation Sexual violence

Men who drink heavily increase their risk for:

Impotence, low sperm count and low testosterone Decrease libido Male-specific cancers(e.g., prostate, testicular, penile) None of the above

Cogent issues that can emerge for fathers with substance use disorders include:

Excessive guilt about being an ineffective parent Family secrets about substance use and HIV/AIDS status Lack of role models for effective parenting All of the above

Counselors in behavioral health settings can use a male client’s religious or spiritual beliefs for recovery since:

Faith can help recovering clients as they reenter their communities Spiritual beliefs can motivate change and, sometimes, to counter the negative effects of certain cultural beliefs about masculinity and alcohol use Some clients accept the need for a higher power or a power greater than themselves All of the above

The rate for occurrence do not vary significantly between genders in :

social phobia and obsessive–compulsive disorder(OCD) depressive disorders borderline personality disorder All of the above

Among men, rape and combat are the two types of trauma most likely to lead to :

social phobia and obsessive–compulsive disorder(OCD) generalized anxiety disorder(GAD) post-traumatic stress disorder (PTSD), All of the above

Anxiety-related mental health issues commonly seenamong men in substance abuse treatment are:

Post-traumatic stress disorder (PTSD), social phobia and obsessive–compulsive disorder(OCD) generalized anxiety disorder(GAD) All of the above

The trauma treatment model to engage male clients and improve their coping skills is:


An acute anxiety reaction similar to an acute stress disorder but only occurring among combatants is:

Combat stress reaction (CSR) obsessive–compulsive disorder combat trauma Both a and c

The treatment reference for mental health issues among veterans is:

Seeking Safety model Iraq War Clinician Guide TREM None of these

Clients imagining a worst case scenario about an upcoming event at which they might be the center of attention have:

combat trauma post-traumatic stress disorder (PTSD) anticipatory anxiety none of the above

Women with social phobia seek treatment more often than men.

True False

In adepressive cycle, clients may use alcohol as a depressive drugto dull the painof their depression and/or stimulants to counteract the effects of the depression.

True False

An impulse-control disorder characterized by persistent and recurrent gaming that disrupts personal, family, or vocational pursuits is:

bipolar disorder schizophrenia pathological gambling Dysthymia

Community alternative treatment programs for co-occurring Antisocial personality disorder (ASPD), often found in prison, are:

Residential therapeutic communities (TCs) Play therapies Individual counseling None of the above

Substance use and abuse are major risk factors for:

SARS, severe acute respiratory syndrome Bell’s Palsy suicide dermatitis

The stepsfor GATE process with clients who may be suicidal are:

Gather information Access supervision Take responsible action and extend the action All of the above

Diseases resulting from the method of drug administration or the lifestyle that accompanies substance abuse is:

Diabetes HIV/AIDS Halitosis cardiovascular and pulmonary conditions

Young African-American men are less likely to use drugs than young White-American men, older African-American men are more likely to do so—this is referred to as:

Gender socialization GAINS Crossover effect None of the above

High rates of substance use/abuse and violence in the young male population reflect:

Young men are less secure about their masculinity than older men Young men feel a greater need to engage in behaviors that supposedly prove their masculinity to others. Young men are the least likely of men in any age group to use seat belts and the most likely to be in a crash. All of the above

The largest single source of substance abuse treatment referrals for individuals in younger age groups is the criminal justice system. True/False?

True False

Employment-related issues that can strongly affect men’s substance use/abuse are:

lack of employment type of job change in socio-economic Status All of the above

Counselors need to explore and challenge their own sexual orientation biases and beliefs to work effectively with gay men in substance abuse treatment settings.True/ False?

True False

A serious undertaking that can pose a significant health risk by the use of substances like alcohol and barbiturates is:

Traumatic brain injury Schizophrenia Detoxification Hematoma

Treatment retention is a particular problem for providers working with men who are homeless.


True False

The most widely used treatment modality in substance abuse treatment program is:

Individual counseling Family & couple therapy Enhancing motivation Group therapy

Casa Los Arboles, an intensive inpatient program that provides services specifically for homeless men, use staff members recovering from substance abuse.True/False?

True False

The institute that teaches the family to talk actively with men who have substance use disorders about the problematic nature of their substance use is:

National gains institute The Johnson institute intervention National institute on alcohol abuse and alcoholism National institute on drug abuse

A treatment program that makes use of family (as well as friends) and has been associated with better treatment outcomes for men in treatment for cocaine use disorders is:

Network therapy Individual counseling TOFMEN Group therapy

Hispanic/Latino is anethnic, not a racial, category.True/False?

True False

A group intervention for male clients in substance abuse treatment that promotes the reexamination of gender stereotypes, social pressures, and sexual misconceptions is:

Network therapy Individual counseling TOFMEN Group therapy

Many men in treatment for a substance- use- disorder are more likely tohave a Co-occurring mental disorder. True or false?

True False

A method that provides a more supportive role and helps clients engage in outpatient treatment which is followed by a modified Johnson-type intervention is

CRAFT Behavioral Couples Therapy (BCT) ARISE UFT

Most substance abuse treatment programs use a combination of group, individual, or family/couples counseling? True /False

True False

Treatment settings can be broadly defined as:

Family & couple therapy Inpatient and outpatient CRAFT and UFT Therapeutic communities

Therapeutic communities (TCs) :

Are a type of residential /Inpatient treatment service Provide treatment lasting at least 9 months Are successfully implemented in criminal justice environments All of the above

Research with male groups of veterans found that outpatient treatment was associated with better outcomes than inpatient treatment.True/False?

True False

Mutual-help groups encompass:

Financial management training groups Groups organized by people in recovery to help others recover from substance abuse and dependence Couples therapy Network therapy

The best known mutual-help groups are 12-Step programs like:

CRAFT and UFT Therapeutic communities (TCs) AA, Narcotics Anonymous and Cocaine Anonymous Both a & c

A program participant on whom a group member relies for support and encouragement is:

Cocaine Anonymous ARISE Mutual-help groups Sponsor

In a 12-Step program, steps that are dedicated to spirituality are:

2, 3, and 11 10 and 12 1 and 5 All of the above

Organizations that do not include the spiritual aspects of 12-Step groups in their program are:

Self-Management and Recovery Training (SMART Recovery) Secular Organizations for Sobriety (SOS) AA and NA Both a and b

Some substance abuse mutual-help groups that do not use the 12-Step model are:

SMART Recovery and SOS Jewish Alcoholics, Chemically DependentPersons, and Significant Others LifeRing Secular Recovery All of the above

The Centers for Disease Control and Prevention (CDC) established its Alcohol Team to:

strengthen research efforts in the prevention of excessive drinking, binge drinking, and underage drinking conduct public health surveillance of risky behaviors and the impacts of disease help experts draw attention to harmful behaviors and strategies to prevent them and recommends interventions for community responses to alcohol use All of the above