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1. According to experts, breaking the trajectory of addiction requires a concerted effort that mobilizes the individual to change and to sustain that change over time by making concrete changes in _________ and restructuring their lives.
A. Relationships
B. Self-image
C. Attitude
D. Behavior
2. Drug addiction is rare in most Latin American countries, so the advent of a major drug addiction problem among U.S. Latinos is a signal of breakdowns in family processes and is likely influenced by the stress of immigration.
A. True
B. False
3. Each of the following is an accurate statement about how drug addiction may affect female Latino addicts EXCEPT:
A. Adolescent girls who begin drug experimentation can be expected to be particularly difficult cases to treat, primarily because Latino families stigmatize them in a more complete and isolating manner than they do male family members
B. It is often difficult for females who have developed drug problems that progress to addiction and require intervention to enlist the support of their parents because their behavior is viewed as willful and sinful
C. Female addicts with children pose a particularly difficult situation because they will experience guilt about neglecting their children or because they have been separated from them, and their parents will scorn them for failing to be good mothers
D. Latinas who end up in prison are more likely to be there for drug offenses, and they may have a particularly difficult time because they are highly connected to their Latino culture and may reject any attempt at Americanization
4. In the culture of many Latino immigrants, addiction is beginning to be understood as a sickness or disease rather than as an intentional, self-destructive behavior, and this new perception is now often addressed in recovery.
A. True
B. False
5. Which of the following is NOT one of the risk factors that addicted Latinos likely experienced in childhood according to the authors?
A. Family instability
B. Poor family environment
C. Lack of access to education
D. Hostile parenting
6. Support groups that use aggressive methods intended to break down defenses may be particularly effective with Latino substance abusers because they tend to be culturally accustomed to direct interactions with others.
A. True
B. False
7. Rather than dedicating professional time to learning about specific cultures, it may be more effective to learn ______________ in the context of ethnic groups that are being treated.
A. Trans-cultural skills
B. Developmental norms
C. Traditional techniques
D. Multi-racial competencies
8. Although chemical therapies are increasingly being used for combating addictions, other than methadone, most of these treatments are not likely to reach low income Latinos who need them.
A. True
B. False
9. Newer therapies, such a motivational interviewing, may be particularly effective because they are flexible and can supply a method for incorporating Latino cultural orientation and highly valued cultural beliefs and symbols into the motivational process.
A. True
B. False
10. It may be very difficult for Latinos to understand the role of treatment for addiction of a family member because:
A. They may not understand how taking drugs qualifies as a sickness deserving of compassion and material support
B. They may find it difficult to comprehend why an addict, who uses drugs voluntarily despite all of the negative consequences for themselves and their families, should be considered “sick”
C. They often perceive chemical therapies used for treatment as simply another form of addiction and will not be supportive
D. All of the above
11. Latinos are much more likely than Latinas to be involved with multiple substances, but less likely than drug dependent women to have co-occurring disorders such as:
A. Personality disorders
B. Depression and anxiety
C. Post-traumatic stress disorder
D. Eating disorders
12. Latino families are generally less tolerant and exhibit more negative responses to seriously mentally ill family members than other cultures, which makes treatment compliance difficult.
A. True
B. False
13. Regular smoking is highly associated with the progression to hard drugs and addiction, and approximately ____ percent of Latinos who start smoking continue to do so with different levels of regularity.
A. 30
B. 40
C. 50
D. 60
14. When integrating culture into therapy, it is recommended that professionals be concerned about each of the following EXCEPT:
A. Latino clients may never have formulated any of their life problems or their unique history of addiction as a “cultural problem” or even been influenced significantly by cultural processes
B. Bringing cultural influences to light may be one of the most important contributions to assisting them in developing a plan to change their lives for recovery
C. Therapists should formulate their own system of case development and fact-checking in arriving at satisfactory understanding of a Latino client’s needs
D. The pertinent aspects of Latino culture will apply to the majority of Latino clients, so professionals should be able to use learned skills and techniques with few variations
15. While the substance abuse treatment field seems to be moving rapidly toward a scientific basis for intervention, an approach of self-study supplemented by group training processes will be the future for drug counselors addressing the needs of Latino addiction clients.
A. True
B. False
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