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WorksheetsFOREWORD
Total questions: 20
Worksheet time: 10mins
Which global initiative specifically urges countries to strengthen the Prevention and Treatment of Substance Use, including narcotic drug abuse and harmful alcohol use?
Universal Health Coverage (UHC) target 3.8
Sustainable Development Goals target 3.5
Global Mental Health Action Plan target 2.1
Paris Agreement Article 12
Which treatment service was explored by the Ministry of Health in Namibia to cater for the increasing number of individuals using substances?
Inpatient detox only
Outpatient Treatment Services
Telemedicine counseling exclusively
Compulsory residential camps
Select all elements described as part of the multidisciplinary outpatient program aimed at achieving abstinence and maintaining sobriety.
Individual therapy
Family therapy
Group therapy
Pharmacovigilance-only monitoring
Isolation from community without services
Addiction is defined as a chronic relapsing brain disease characterized by which key feature?
Temporary curiosity about drugs
Compulsive drug seeking and use despite harmful consequences
Ability to quit without assistance
Use only of legal substances
Case Management in substance use care is best described as which process?
A one-time emergency response
A collaborative process to assess, plan, implement, coordinate, and evaluate services to meet client needs
A legal proceeding to enforce treatment
A peer-led support only
Dependence results from chronic use that has produced tolerance and leads to which outcome upon abrupt discontinuation or dosage reduction?
Enhanced cognition
Euphoria
Negative physical symptoms of withdrawal
Immediate relapse only
Which statement best defines Psychoactive substances?
Substances that only affect the liver
Substances that affect the central nervous system and change behaviour or perception, including legal and illegal drugs and some medications
Substances that have no effect on perception
Only designer drugs
Relapse is defined as which outcome?
A minor slip without returning to use
A complete return to using psychoactive substances in the same way as before quitting
An increase in tolerance only
Successful abstinence after treatment
A Screening Interview is primarily used to do which of the following?
Provide in-depth psychotherapy
Determine the probability of a problem and the need for further evaluation
Replace medical assessment
Administer medication
Which scenario best illustrates tolerance as defined in the glossary?
Feeling sick after taking a new medication for the first time
Needing larger amounts of a psychoactive substance to achieve the same effect previously experienced with a smaller amount
Experiencing symptoms like sweating and tremors after stopping substance use
Avoiding certain places to reduce cravings
Which statement best reflects the overarching goals of substance use treatment as described in this chapter?
Stopping use, maintaining a substance-free lifestyle, and achieving productive functioning in family, work, and society
Reducing use to socially acceptable levels and focusing only on medical stabilization
Prioritizing short-term detoxification over long-term recovery outcomes
Focusing solely on legal compliance and avoiding relapse documentation
Which statement about service level is accurate regarding the outpatient program?
It can only function as a step‑down service from inpatient care
It cannot be used for individuals returning to everyday life
It can serve as a step‑up or step‑down service
It requires residential stay to be effective
Which tools are listed as examples for screening for substance use disorder (SUD)?
BMI
CAGE
ASI
AUDIT
ASAM Criteria
What are key components of conducting a comprehensive assessment in outpatient substance use treatment? Select all that apply.
Only self-report by the client
Initial medical evaluation
Collateral information from family and friends
Laboratory tests and medical records
Which strategy best reflects building on existing motivation?
Using motivational enhancement interventions to address resistance
Requiring clients to complete fixed program steps
Avoiding discussions about relapse triggers
Limiting family involvement
Providing continuing care recognizes substance use disorder as what type of illness, and recommends what approach after a program ends?
Acute; immediate discharge with no follow-up
Chronic; gradual step up or step down services to prevent relapse
Self-limiting; peer-led groups only
Temporary; medication only
According to DSM-5, which groups summarize the symptoms associated with SUD? Select all that apply.
Impaired control
Social impairment
Risky use
Pharmacological criteria such as tolerance and withdrawal
Genetic inheritance only
Which scenario best reflects the hallmark of addiction described in the chapter?
Occasional social drinking without negative consequences
Consistent ability to meet work, school, and home responsibilities
Impairment in self-control due to continued substance use, accompanied by physical brain changes affecting judgment, decision making, learning, memory, and behavior control
Short-term use of prescribed medication as directed
What does a relapse during recovery most accurately indicate?
Treatment has failed and the person is back to square one.
Relapse is normal for many people and signals the need to reinstate, adjust, or change treatment.
The person lacks willpower and should stop treatment.
Recovery is impossible after a relapse.
Which statements reflect the scientific view of addiction? Select all that apply.
Addiction is a disease, not a choice.
Addiction means a person is weak and lacks willpower.
People living with addiction need help and can benefit from medical treatment and recovery support.
Addiction can only be overcome without professional help.
