1.Accordingtoyourtext,useofwhichofthefollowingsubstanceshasremainedfairlyconstantinsociety,despite
widespreadknowledgeoftheirdangersandthevarioustypesoftollsthesedrugscanbring?
a.Alcoholandtobacco
b.MarijuanaandLSD
c.Cocaineandheroin
d.Anabolicsteroidsandinhalants
ANSWER: a
POINTS: 1
REFERENCES: Introduction
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.01-UnderstandwhysubstancemisuseandSUDsare
legitimateproblemsforsociety
NATIONALSTANDARDS: UnitedStates-CACREP.1A-CareerDevelopment–Theoriesandmodelsof
careerdevelopment,counseling,anddecisionmaking
UnitedStates-CSHSE.2a-ethicalandculturallyrelevantstrategiesfor
conducting,interpreting,andreportingtheresultsofresearchand/orprogram
evaluation
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
2.Thedirectandindirectcostofsubstanceusedisorderstotals_______percentoftheaveragestate’sbudget.
a.5
b.10
c.15
d.20
ANSWER: c
POINTS: 1
REFERENCES: SubstanceUseDisordersasUnsuspectedInfluencesonSociety
conducting,interpreting,andreportingtheresultsofresearchand/orprogram
evaluation
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
3.Whichofthefollowingshouldbeincludedonalistoftheindirectcostsofthe“warondrugs?”
a.thecostsofincarceratingthoseconvictedofdrug-relatedoffenses.
b.providinghealthcareforthefamiliesofthoseconvictedofdrug-relatedoffenses.
c.costsassociatedwithpreventionandtreatment.
d.alloftheseanswersarecorrect.
ANSWER: d
POINTS: 1
REFERENCES: SubstanceUseDisordersasUnsuspectedInfluencesonSociety
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.01-UnderstandwhysubstancemisuseandSUDsare
legitimateproblemsforsociety
NATIONALSTANDARDS: UnitedStates-CACREP.2H-Socialandculturaldiversity—Strategiesfor
identifyingandeliminatingbarriers,prejudices,andprocessesofintentionaland
unintentionaloppressionanddiscrimination
UnitedStates-CSHSE.1g-Skillstoanalyzeandinterprethistoricaldatafor
applicationinadvocacyandsocialchange.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
4.Adultswithsubstanceusedisordersaremorelikelytophysicallyabuseand/orneglecttheirchildrenthantheirnon-
abusingpeers.
a.True
b.False
ANSWER: True
POINTS: 1
REFERENCES: SubstanceUseDisordersasUnsuspectedInfluencesonSociety
QUESTIONTYPE: True/False
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.01-UnderstandwhysubstancemisuseandSUDsare
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
5.AccordingtoLeamon,etal.(2008),atleast____percentoftheworld’spopulationhasusedatleastone
psychoactivesubstanceatsomepointintheirlives.
a.5
b.25
c.50
d.75
ANSWER: c
POINTS: 1
REFERENCES: TheScopeoftheProblemoftheSubstanceUseDisorders
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.02-Identifythescopeoftheproblemofalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.3b-theoriesoflearning
UnitedStates-CSHSE.4i-Utilizingresearchfindingsandotherinformationfor
communityeducationandpublicrelations.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
6.Whatpercentoftheentireworldpopulationbetween15and64yearsofagehasabusedanillicitsubstanceatleast
oncein2014?
a.3%
b.21%
c.53%
d.74%
ANSWER: a
POINTS: 1
REFERENCES: TheScopeoftheProblemoftheSubstanceUseDisorders
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
UnitedStates-CSHSE.4i-Utilizingresearchfindingsandotherinformationfor
communityeducationandpublicrelations.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
7.Themostcommonlyuseddrugintheworldis___________.
a.methamphetamine
b.marijuana
c.nicotine
d.alcohol
ANSWER: b
POINTS: 1
REFERENCES: TheScopeoftheProblemoftheSubstanceUseDisorders
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.02-Identifythescopeoftheproblemofalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.8i-analysisanduseofdataincounseling
UnitedStates-CSHSE.4c-Compiling,synthesizing,andcategorizinginformation.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
8.Womenaremorelikelytodevelopanalcoholabusedisorderthanmen.
a.True
b.False
ANSWER: False
POINTS: 1
REFERENCES: TheScopeoftheProblemoftheSubstanceUseDisorders
QUESTIONTYPE: True/False
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.02-Identifythescopeoftheproblemofalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.3D-Theoriesandetiologyofaddictionsandaddictive
behaviors
UnitedStates-CSHSE.2a-Theoriesofhumandevelopment.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
9.Drugusedisordersarethe_______leadingcauseofdeathinadultsaroundtheworld.
a.thirrd
b.fourth
c.sixth
d.eightth
ANSWER: c
POINTS: 1
REFERENCES: TheCostofChemicalMisuseandsubstanceusedisorders
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.03-Understandthecostsrelatedtoalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.8i-analysisanduseofdataincounseling
UnitedStates-CSHSE.4c-Compiling,synthesizing,andcategorizinginformation.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
10.EachdayintheUnitedStates,approximately_____peoplewilltryanillicitdrugforthefirsttime.
a.2,000
b.4,000
c.8,000
d.10,000
ANSWER: c
POINTS: 1
REFERENCES: TheScopeoftheProblemoftheSubstanceUseDisorders
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.02-Identifythescopeoftheproblemofalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.8i-analysisanduseofdataincounseling
UnitedStates-CSHSE.4c-Compiling,synthesizing,andcategorizinginformation.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
11.Asahospitaladministrator,youwouldexpectthat___percentofadmissionstothehospitalwouldberelatedto
alcoholuse/misuse.
a.5
b.15
c.25
d.35-40
ANSWER: d
POINTS: 1
REFERENCES: SubstanceUseDisordersasUnsuspectedInfluencesonSociety
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.02-Identifythescopeoftheproblemofalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.8i-analysisanduseofdataincounseling
UnitedStates-CSHSE.4c-Compiling,synthesizing,andcategorizinginformation.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
12.Whatpercentageofpsychiatrichospitaladmissionsarenotassociatedwithdrugoralcoholabuse?
a.15-20%
b.8-10%
c.25-30%
d.25-50%
ANSWER: d
POINTS: 1
REFERENCES: SubstanceUseDisordersasUnsuspectedInfluencesonSociety
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.02-Identifythescopeoftheproblemofalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.8i-analysisanduseofdataincounseling
UnitedStates-CSHSE.4c-Compiling,synthesizing,andcategorizinginformation.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
13.Estimatessuggestthatalcoholusedisorderscosttheworldeconomyabout______eachyear.
a.$375billion
b.$264billion
c.$600billion
d.880million
ANSWER: d
POINTS: 1
REFERENCES: SubstanceUseDisordersasUnsuspectedInfluencesonSociety
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.02-Identifythescopeoftheproblemofalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.8A-Researchandprogramevaluation—Theimportance
ofresearchinadvancingthecounselingprofession,includinghowtocritique
researchtoinformcounselingpractice
UnitedStates-CSHSE.3f-Internationalandglobalinfluencesonservicesdelivery.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
14.TheannualestimatedeconomicimpactofalcoholusedisordersintheUnitedStatesisthoughttobe
a.$98millionperyear.
b.$$250billion
c.$$1.1trillion
d.$1.5trillion
ANSWER: b
POINTS: 1
REFERENCES: TheCostofChemicalMisuseandsubstanceusedisorders
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.03-Understandthecostsrelatedtoalcoholanddrug
misuseandSUDs
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
15.WhatpercentofphysiciansintheUnitedStatesbelievetheyareadequatelytrainedtotreatsubstanceabusers?
a.30%
b.Morethan%
c.17%
d.Lessthan20%
ANSWER: d
POINTS: 1
REFERENCES: WhoTreatsPersonswithasubstanceusedisorder?
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.04-Describethosewhoencounterandtreatindividualswith
SUDs
NATIONALSTANDARDS: UnitedStates-CACREP.4e-strategiesforassessingabilities,interests,values,
personalityandotherfactorsthatcontributetocareerdevelopment
UnitedStates-CSHSE.8g-Reflectiononprofessionalself(e.g.,journaling,
developmentofaportfolio,orprojectdemonstratingcompetency).
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
16.Aroundtheworld,heroinaccountsfor___percentofopiateusedisorders.
a.justover70
b.rightaround50
c.slightlylessthan30
d.under10
ANSWER: a
POINTS: 1
REFERENCES: TheScopeoftheProblemoftheSubstanceUseDisorders
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.02-Identifythescopeoftheproblemofalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.8A-Researchandprogramevaluation—Theimportance
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
17.Formostindividuals,experimentationwiththeillicituseofdrugs
a.occursonlyonce.
b.initiatesaslow,butinevitable,advanceintoaddiction.
c.runsacourseofusethatusuallylasts5-10years.
d.lastsforlessthanayear.
ANSWER: d
POINTS: 1
REFERENCES: TheScopeoftheProblemoftheSubstanceUseDisorders
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.02-Identifythescopeoftheproblemofalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.3D-Theoriesandetiologyofaddictionsandaddictive
behaviors
UnitedStates-CSHSE.2a-Theoriesofhumandevelopment.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
18.Themajorityofnursingschoolsrequiredonly________hoursofinstructiononalcoholanddrugabusecontent
duringstudents’entireundergraduatecareers.
a.1go5
b.6to10
c.20
d.40to46
ANSWER: a
POINTS: 1
REFERENCES: WhoTreatsPersonswithasubstanceusedisorder?
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.04-Describethosewhoencounterandtreatindividualswith
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
19.ThenumberofpeopleintheUnitedStateswhousecocainehas________inrecentyears.
a.doubled
b.gonedown
c.tripled
d.stayedstable
ANSWER: b
POINTS: 1
REFERENCES: TheScopeoftheProblemoftheSubstanceUseDisorders
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.02-Identifythescopeoftheproblemofalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.8i-analysisanduseofdataincounseling
UnitedStates-CSHSE.4c-Compiling,synthesizing,andcategorizinginformation.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
20.Nearly____millionpeopleintheUnitedStatessmokecigarettes.
a.30
b.45
c.60
d.100
ANSWER: a
POINTS: 1
REFERENCES: TheScopeoftheProblemoftheSubstanceUseDisorders
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.02-Identifythescopeoftheproblemofalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.8i-analysisanduseofdataincounseling
UnitedStates-CSHSE.4c-Compiling,synthesizing,andcategorizinginformation.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
21.IntheUnitedStates,thenumberofdeathsresultingfromillicitdruguseare_______thosefromlegalsubstanceuse.
a.muchhigherthan
b.statisticallythesameas
c.morenumerousthan
d.onlyafractionof
ANSWER: d
POINTS: 1
REFERENCES: TheCostofChemicalAbuse/Addiction
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.03-Understandthecostsrelatedtoalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.8i-analysisanduseofdataincounseling
UnitedStates-CSHSE.4c-Compiling,synthesizing,andcategorizinginformation.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
22.Alcoholisthoughttocontributetoapproximately____ofallmotorvehicleaccidents.
a.40%
b.60%
c.30%
d.50%
ANSWER: a
POINTS: 1
REFERENCES: TheCostofChemicalMisuseandsubstanceusedisorders
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.03-Understandthecostsrelatedtoalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.8i-analysisanduseofdataincounseling
UnitedStates-CSHSE.4c-Compiling,synthesizing,andcategorizinginformation.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
23.Annually,onein___ofalldeathsintheU.S.canbedirectlytracedtosmoking-relatedillnesses.
a.ten
b.three
c.five
d.two
ANSWER: c
POINTS: 1
REFERENCES: TheCostofChemicalMisuseandsubstanceusedisorders
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.03-Understandthecostsrelatedtoalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.8i-analysisanduseofdataincounseling
UnitedStates-CSHSE.4c-Compiling,synthesizing,andcategorizinginformation.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
24.Themajorityofpsychologistssurveyedreported________regardingtheidentificationortreatmentofaddictions.
a.noformaltraining
b.confidence
c.beingcomfortable
d.feltadequatelypreparedcomingoutofgraduateschool
ANSWER: a
POINTS: 1
REFERENCES: WhoTreatsPersonswithasubstanceusedisorder?
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.04-Describethosewhoencounterandtreatindividualswith
SUDs
NATIONALSTANDARDS: UnitedStates-CACREP.4e-strategiesforassessingabilities,interests,values,
personalityandotherfactorsthatcontributetocareerdevelopment
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
25.Themajorityofundergraduatenursingprogramsrequire______ofinstructiononalcoholanddrugabusecontent.
a.onesemester
b.asinglecourse
c.severalweeks
d.1to5clockhours
ANSWER: d
POINTS: 1
REFERENCES: WhoTreatsPersonswithasubstanceusedisorder?
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.04-Describethosewhoencounterandtreatindividualswith
SUDs
NATIONALSTANDARDS: UnitedStates-CACREP.4c-processesforidentifyingandusingcareer,
avocational,educational,occupationalandlabormarketinformationresources,
technology,andinformationsystems
UnitedStates-CSHSE.8g-Reflectiononprofessionalself(e.g.,journaling,
developmentofaportfolio,orprojectdemonstratingcompetency).
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
26.Discussthecostsofalcoholuse/abuse/addictioningeneraleconomictermsandinhealthcareexpenditures,providing
informationforboththeUnitedStatesandtheWorld.
ANSWER: Noanswerprovided.
POINTS: 1
REFERENCES: TheCostofChemicalMisuseandsubstanceusedisorders
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.03-Understandthecostsrelatedtoalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.2A-SocialandCulturalDiversity–Multiculturaland
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
27.Describesomeoftheshortcomingsinthetrainingofvarioushealthcareworkersregardingtheidentificationand
treatmentofsubstanceabusedisorders(substanceusedisorders).
ANSWER: Noanswerprovided.
POINTS: 1
REFERENCES: WhoTreatsPersonswithasubstanceusedisorder?
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.04-Describethosewhoencounterandtreatindividualswith
SUDs
NATIONALSTANDARDS: UnitedStates-CACREP.4a-theoriesandmodelsofcareerdevelopment,
counseling,anddecisionmaking
UnitedStates-CSHSE.8g-Reflectiononprofessionalself(e.g.,journaling,
developmentofaportfolio,orprojectdemonstratingcompetency).
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
28.Contrastthehistoricalpatternsseenwithalcohol/tobaccousewiththatofthegeneralpatternsofuseofillicit
substancesintheU.S.
ANSWER: Noanswerprovided.
POINTS: 1
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.02-Identifythescopeoftheproblemofalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.8F-Qualitative,quantitative,andmixedresearch
methods
UnitedStates-CSHSE.4c-Compiling,synthesizing,andcategorizinginformation.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20187:06AM
29.Describethetacticspoliticiansusetohidethetruecostofthe”war”ondrugs.
ANSWER: Noanswerprovided.
POINTS: 1
REFERENCES: Introduction
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.01-UnderstandwhysubstancemisuseandSUDsare
legitimateproblemsforsociety
NATIONALSTANDARDS: UnitedStates-CACREP.2B-SocialandCulturalDiversity–Theoriesandmodels
ofmulticulturalcounseling,culturalidentitydevelopment,andsocialjusticeand
advocacy
UnitedStates-CSHSE.1f-Exposuretoaspectrumofpoliticalideologies.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
30.HowdoSubstanceUseDisorders(substanceusedisorders)contributetotheriseinhealthcarecosts?
ANSWER: Noanswerprovided.
POINTS: 1
REFERENCES: TheCostofChemicalAbuse/Addiction
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.03-Understandthecostsrelatedtoalcoholanddrug
misuseandSUDs
NATIONALSTANDARDS: UnitedStates-CACREP.1h-currentlabormarketinformationrelevantto
opportunitiesforpracticewithinthecounselingprofession
UnitedStates-CSHSE.1g-Skillstoanalyzeandinterprethistoricaldatafor
applicationinadvocacyandsocialchange.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM
31.Discussthestatisticsofhowsubstanceusedisordersareinvolvedwiththosewhoareadmittedtohospitalsinagiven
year,focusingonavarietyofdifferentsubstances.
ANSWER: Noanswerprovided.
POINTS: 1
REFERENCES: SubstanceUseDisordersasUnsuspectedInfluencesonSociety
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.01.01-UnderstandwhysubstancemisuseandSUDsare
legitimateproblemsforsociety
NATIONALSTANDARDS: UnitedStates-CACREP.8i-analysisanduseofdataincounseling
UnitedStates-CSHSE.3a-Therangeandcharacteristicsofhumanservices
deliverysystemsandorganizations.
DATECREATED: 2/16/20185:46AM
DATEMODIFIED: 2/23/20189:04AM