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Which of the following is NOT one of the psychiatric symptoms of steroids abuse?
a. Aggression
b. Irritability
c. Antisocial behavior
d. Hyperactivity
Which of the following is one of the diagnostic criteria for the diagnosis of a substance
use disorder, according to your text?
a. Increased use over time
b. No avoidance of activities not centered on substance use
c. Enhancement of normal functioning
d. Adherence to religious dictates against substance use
According to your text, which of the following rationales is NOT associated with
substance use or abuse?
a. The person's love relationships at the moment
b. To provide an excuse for the expression of forbidden impulses
c. To allow the person to explore hidden realities (or at least what they interpret as
hidden realities)
d. To help the user cope with physical and emotional pain
The vast pool of research data addressing maternal amphetamine use during pregnancy
a. suggests that these compounds result in a baby that will be addicted to amphetamines
following birth.
b. suggests that these compounds make the concurrent use of opioids by the mother less
likely.
c. does not exist as this has not been the subject of much research in the clinical
literature.
d. suggests that the long-term effects for the fetus are about the same as maternal opioid
addiction during pregnancy.
According to one study cited in your text, _______when marijuana is smoked.
a. 524 percent is lost in 'sidestream" smoke
b. the smoker's body absorbs only 412 percent of available THC
c. 30-80 percent of available THC is destroyed
d. effects depend on the individual's lung capacity
Who originally believed that cocaine could be an effective treatment for depression,
then recanted this position?
a. Adolf Hitler
b. Carl Rogers
c. Sigmund Freud
d. Carl Jung
In addition to the percentage of substance abusers who eventually learn to abstain from
substance use, what percentage of treatment graduates develop a pattern of more or less
problematic use?
a. 50 percent
b. 20 percent
c. 15 percent
d. 30 percent
_______ are thought to be the most effective treatment for patients suffering from
alcohol withdrawal seizures.
a. Opioid antagonists
b. Benzodiazapines
c. Anti-convulsants
d. Small amounts of alcohol
About ______percent of people who try cocaine will ultimately become addicted.
a. 15
b. 25
c. 50
d. 75
The benzodiazepines are thought to exert their primary effect in the
a. GABAf receptor site.
b. GABAa receptor site.
c. GABAc receptors in the descending fibers of the mesocortical system.
d. GABAb receptor sites in the optic lobe.
Drug use disorders are the ______ leading cause of death in adults around the world.
a. 3rd
b. 4th
c. 6th
d. 8th
There is little evidence suggesting that
a. formats other than the Minnesota model are at all effective.
b. the Minnesota model can be applied to illicit drug abuse.
c. it is necessary to include a 12-step group as part of the treatment process.
d. 28 days is long enough to make meaningful change in personality.
The majority of outpatient treatment programs follow a _________ approach to
recovery.
a. rational emotive
b. family systems
c. 12-step centered
d. alternative medicine
Persons taking diazepam have been found to have a 500% increased chance of
a. optic neuritis.
b. shortened reaction time.
c. motor vehicle accidents.
d. increased visual perception in dim light situations.
Which of the following statements is NOT true about dual diagnosis clients?
a. They have higher rates of suicide.
b. They tend to have stronger support networks.
c. They have increased risk of being homeless.
d. They are less able to handle personal finances.
To avoid the bitter taste when chewing the leaves of the coca plant, indigenous people
also
a. chew calcium obtained from sea shells.
b. chew lime obtained from sea shells.
c. mix sea salt with the leaves of certain trees and chew the wad for awhile.
d. soak coca leaves with seaweed in a vat filled with water and slowly heat the vat until
it begins to boil, let it cool, and then chew the coca leaves.
The benzodiazepines are said to
a. artificially simulate the effects of GABA at the receptor site.
b. block the effects of GABA at the receptor.
c. make the receptor site more sensitive to GABA molecules.
d. activate production of more GABA molecules.
The process of "blending" steroids refers to the
a. practice of taking steroids on an inconsistent basis.
b. taking only steroids intended for oral administration.
c. intermixing steroids intended for both oral and intramuscular injection.
d. mixing drug-free holidays with periods of active substance abuse.
The most common medication misuse in older persons is
a. over-utilization for euphoric effects.
b. failure to adequately understand side effects.
c. intentional underutilization for financial reasons.
d. obtaining multiple prescriptions for the same compound from multiple providers.
According to your text, the current theory is that cocaine's rewarding effects reflect its
ability to influence the _______receptor site in the brain.
a. Serotonin 5-HT3
b. Dopamine D2
c. Dopamine D1
d. Dopamine D18
Court-mandated treatment might be viewed as a form of
a. external motivation for the client.
b. dumping an expensive program on taxpayers by calling it something good.
c. minimally invasive intervention.
d. over-taxing the judicial system with cases involving minor offenses.
HIV infection results in an estimated ________ in yearly earning potential.
a. $22,000 reduction
b. $12,000 reduction
c. $30,000 reduction
d. $15,000 reduction
Addiction to a narcotic
a. can develop after just a few days of continuous use.
b. requires at least 6 months of continuous use before it develops.
c. is seen only in cases of intravenous drug abuse.
d. is most often seen in heroin addiction.
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
Under normal conditions, what would you expect from a person with a blood alcohol
level of 0.15, according to your text?
a. Stupor, lethargy bordering on loss of consciousness
b. Mild ataxia, a sense of euphoria or well being
c. Coma, possible respiratory arrest
d. Death
When barbiturate molecules are circulated throughout the body, the highest
concentrations are found in the
a. kidney.
b. liver.
c. brain.
d. liver and brain.
About 10 percent of patients who start taking an amphetamine compound
a. are safe unless they begin taking 10 times the recommended therapeutic dose.
b. are safe unless they begin taking twice the therapeutic dose.
c. experience some degree of drug-induced tachycardia.
d. are polydrug abusers.
One of the challenges to the defense mechanism theory is that research has found that
a. substance abusing clients do not use denial more frequently than other groups.
b. most substance abusing clients do not engage in defense mechanisms.
c. only patients in rehabilitation programs utilize the defense of denial.
d. substance abusing clients actually use defenses that have never been studied before.
Alcohol is thought to contribute to approximately _____of all motor vehicle accidents.
a. 40 percent
b. 60 percent
c. 30 percent
d. 50 percent
The peak blood level of ephedrine is
a. reached about an hour after a single dose.
b. reached 2-4 hours after a single dose.
c. not reached in a timeframe currently known to scientists.
d. reached about 150 minutes after a single dose.
It used to be thought that the addicted person had to ____before he or she would see the
need to change his or her substance use behavior.
a. be allowed to fail to control substance use
b. hit bottom
c. discover the varieties of substance use disorders
d. lose a spouse or job
