Test Bank Template

Chapter 3: Diagnostic Issues: DSM-5 Overview for Substance-Related Disorders

Multiple Choice Questions:

1. Which of the following diagnostic criterion are NOT related to impaired control?

a. Taking larger amounts then intended

b. Persistent desire to reduce/stop use

c. Important social/personal obligations ignored in favor of substance use

d. Craving

2. In the prior version of the DSM (the DSM-IV), which of the following was considered the less severe disorder?

a. Substance dependence

b. Mild substance use disorder

c. Mild substance dependence

d. Substance abuse

3. The time frame for an early remissionspecifier is:

a. 2–10 months

b. 13+ months

c. 2 weeks

d. 3–12 months

4. The time frame for a sustained remissionspecifier is:

a. 2–10 months

b. 13+ months

c. 2 weeks

d. 3–12 months

5. Which of the following is NOT a criterion for substance-induced disorder in the DSM-5?

a. Psychiatric symptom(s) are prominent in the clinical picture

b. Psychiatric symptom(s) are more severe than would be expected in intoxication/withdrawal

c. Psychiatric symptom(s) not better explained by delirium

d. All of the above are criteria for substance-induced disorder in the DSM-5

6. This model proposes that co-occurring SUD and psychiatric disorder(s) originate from the same risk factor.

a. Correlated liabilities model

b. Secondary substance abuse model

c. Common factor model

d. Reciprocal causation model

7. This model proposes that co-occurring SUD and psychiatric disorder(s) originate from a shared set of risk factors.

a. Correlated liabilities model

b. Secondary substance abuse model

c. Common factor model

d. Reciprocal causation model

8. This model proposes that co-occurring SUD and psychiatric disorder(s) exacerbate the onset of one another.

a. Correlated liabilities model

b. Secondary substance abuse model

c. Common factor model

d. Reciprocal causation model

9. This model proposes that co-occurring psychiatric disorder(s) precede and cause the onset of SUD.

a. Correlated liabilities model

b. Secondary substance abuse model

c. Common factor model

d. Reciprocal causation model

10. Which of the following substances may have anti-psychotic qualities?

a. Alcohol

b. Opiates

c. Cocaine

d. Marijuana

11. Which co-occurring personality disorder is most associated with heightened suicide risk in SUDs?

a. Narcissistic Personality Disorder

b. Borderline Personality Disorder

c. Anti-Social Personality Disorder

d. All of the above

12. Endorsement of five criteria for Pathological Gambling results in what severity level?

a. Mild

b. Moderate

c. Severe

d. No diagnosis possible with that number of endorsed criteria

13. Based on the research cited in Chapter 3, approximately what percentage of SUD cases also consist of a pathological gambling diagnosis?

a. ~50–55%

b. ~70–5%

c. ~20–25%

d. ~40–45%

14. Which of the following is NOT a specifier for Kafka’s (2010) diagnostic criteria for hypersexual disorder?

a. Sex with non-consenting adults

b. Pornography

c. Masturbation

d. Phone sex

15. As per the research cited in Chapter 3, co-occurring SUD and psychiatric disorders in adolescents operate how?

a. One-directionally

b. Bi-directionality

c. Both a and b

d. No set pattern noted

16. According to the 2013 TEDS-A data, this is the most commonly reported substance at treatment admission for adolescents.

a. Marijuana

b. Opiates

c. Alcohol

d. Methamphetamine

17. According to the research cited in Chapter 3, what SUD criterion is rare in adolescents?

a. Craving

b. Withdrawal

c. Increased usage

d. Failure to adhere to responsibilities

18. Older adults with an alcohol use disorder may not experience which criterion?

a. Tolerance

b. Craving

c. Physical dependence

d. Both a and c

19. According to the 2013 TEDS-A data, this was the most commonly reported substance at admission by adults ages 55 years and older.

a. Prescription opiates

b. Alcohol

c. Marijuana

d. Cocaine/crack

20. According to Wu and Blazer (2011), this age group was most likely to struggle with prescription medications

a. 80+ years-old

b. 50–64 years-old

c. 65–75 years-old

d. 55–65 years-old

True/False Questions:

21. NSSI is a DSM-5 diagnosable condition.

a. True

b. False

22. Food addiction is a DSM-5 diagnosable condition.

a. True

b. False

23. Hypersexual disorder is a DSM-5 diagnosable condition.

a. True

b. False

24. Pathological gambling is a DSM-5 diagnosable disorder.

a. True

b. False

25. Withdrawal is only diagnosable if occurring with a moderate or severe substance use disorder.

a. True

b. False

Essay Questions:

26. Please explain how and why the DSM-5 does not consider the craving criterion in calculating the presence of SUD symptoms to designate a relapse.

27. Please discuss the consequence of the potential anti-psychotic qualities of opiates as per the research cited in Chapter 3.

28. According to Morgen in Chapter 3, why should NSSI be considered a process addiction?

Both report a heightened frequency and/or intensity of these thoughts when experiencing life stressors and/or co-occurring psychiatric disorder symptom flare-ups. After excessively using the substance or NSSI for years, they both have reported a tolerance effect. The NSSI clients have discussed not getting the same “relief” or “control” from the acts that they used to achieve. This causes them frustration as their principal coping skill is deteriorating. These experiences of NSSI clients sound similar to the affect regulation function of NSSI discussed by some (e.g., Brain, Haines, & Williams, 2002). Buser and Buser (2013) agreed. They provided a comprehensive review of the NSSI literature and concluded that NSSI entails issues of compulsion, loss of control, continued use despite negative consequences, and the development of tolerance, which are all indicative of an addiction. Morgen also noted that Zetterqvist (2015) reviewed numerous studies and demonstrated the high rates of various cooccurring disorders within the NSSI population such as anxiety, mood, substance use, and eating disorders as well as symptoms of emotional dysregulation and heightened general psychiatric distress. In NSSI, the client is primarily engaged in negative reinforcement. The NSSI addiction is not perpetuated to induce a euphoric feeling as much as it is to use that euphoric feeling as a way to (temporarily) reduce the negative affect and/or mood they are experiencing. NSSI addicted individuals do not so much chase the “high” as they instead perpetually return to their coping skill (i.e., the addiction) to escape the hurt.