Substance-Related Disorders Test Bank Answers Ch.11

Chapter 11

Substance-Related Disorders

Multiple Choice Questions

1. What percentage of mental health clients present issues stemming from personal substance use or that of a family member?
2. 40%
3. 50%
4. 60%
5. 70%
6. In 2016, a World Health Organization report suggested what percentage of premature deaths were attributable to harmful use of alcohol?
7. 7.2%
8. 8.4%
9. 9.2%
10. 6.2%
11. Which one of the following is not included in the examples of worldwide alcohol-related diseases reported by the WHO?
12. Cancer
13. Liver cirrhosis
14. Bipolar disorder
15. Hypertension
16. What is the estimated total dollar amount of alcohol-related costs in Canada?
17. 28.4 billion
18. 38.4 billion
19. 48 billion
20. 38 million
21. What percentage of Canadian adults surveyed in Health Canada’s 2012 Alcohol and Drug Use Monitoring Survey consumed alcohol at a level considered to be a chronic risk for such illnesses as liver disease?
22. 24%
23. 14%
24. 34%
25. 4%
26. According to the United Nations World Drug Report (2018), the percentage of worldwide prevalence of the use of any illicit drug between 2009 and 2019 has risen by what percentage?
27. 15%
28. 20%
29. 25%
30. 30%
31. Data from across Canada in 2013 indicated that individuals with concurrent disorders comprised what percentage of all psychiatric inpatients?
32. Close to one half
33. Close to one quarter
34. Close to one third
35. Close to three quarters
36. Meta-analyses revealed that substance use disorders occur in 47 percent of individuals with which one of the following mental health disorders?
37. Bipolar disorder
38. Schizophrenia
39. Major depressive disorder
40. Generalized anxiety disorder
41. Which province has the highest rates of opioid-related deaths?
42. Alberta
43. Ontario
44. British Columbia
45. Quebec
46. The effects of opioids include:
47. Pain reduction
48. Sleeplessness
49. Depression
50. Alertness
51. The CAGE screening tool is widely used to assess alcohol misuse and abuse. Which one of the following words is not represented in the acronym CAGE?
52. Afraid
53. Guilty
54. Eye-opener
55. Cut down
56. According to the Canadian Drugs and Substances Strategy (CDSS), which one of the following has recently become one of the strategy’s key pillars?
57. Enforcement
58. Treatment
59. Harm reduction
60. Education
61. Which one of the following is not included among the components of a complete needle exchange program?
62. Education regarding safer methods of drug ingestion
63. Behaviour therapy with goals of reduction
64. Onsite provision of 12-step groups
65. Provision of safe space where staff can monitor client’s health status
66. Which one of the following is not included in the list of substances within the text that respond to Naloxone?
67. Crystal meth
68. Heroin
69. Codeine
70. Morphine
71. The Big Book of AA was first published in:
72. 1939
73. 1949
74. 1925
75. 1929
76. What is the fourth step of the 12-step model of AA?
77. Made direct amends to such people wherever possible, except when to do so would injure them or others.
78. Made a decision to turn our will and our lives over to the care of God as we understood Him.
79. Made a searching and fearless moral inventory of ourselves.
80. Admitted to God, to ourselves and to another human being the exact nature of our wrongs.
81. Which one of the following is not included in the list of five principles for motivational interviewing?
82. Avoid argument
83. Challenge resistance
84. Support self-efficacy
85. Express empathy
86. The primary goal of treatment for substance use disorders is to:
87. Decrease use and possibly achieve abstinence
88. Increase the time between relapses and decrease the number of relapses.
89. Reduce the psychological and physical harm that is secondary to a substance use disorder
90. Successfully withdraw the person from the substance to reduce the acute harms they are suffering
91. Which one of the following medications has been proven effective in preventing relapse for alcohol when combined with psychosocial therapies?
92. Naltrexone
93. Suboxone
94. Methadone
95. Zopiclone
96. Which one of the following medications are given for treating alcohol withdrawal?
97. Antispasmodics
98. Propanolol
99. Phenobarbital
100. Rohypnol
101. Which one of the following medications are used for treating opiate withdrawal?
102. Clonidine
103. Methamphetamine
104. Buspirone
105. Clozapine
106. According to the text, common symptoms of cannabis withdrawal include:
107. Irritability
108. Fatigue
109. Increased appetite
110. Weight gain
111. The most commonly known medication to control alcohol use disorders is:
112. Clonazepam
113. Disulfiram
114. Resperidone
115. Sulfonamide
116. Which one of the following is not included in the list of physiological effects of Antabuse?
117. Flushing
118. Choking
119. Vomiting
120. Low blood pressure
121. Which family of drugs should be avoided in the treatment of opioids?
122. Antidepressants
123. Anticonvulsants
124. Benzodiazepines
125. Anxiolytics

True or False Questions

1. A Canadian study revealed that less than half of people arrested for criminal offenses were under the influence of alcohol and/or an illegal drug at the time of the offense.
2. A drug impaired driving offense occurs every three minutes in Canada each day.
3. Forty-two per cent of all alcohol-attributable deaths are due to intentional and unintentional injuries incurred during intoxication.
4. Canada’s “Low-Risk Alcohol Drinking Guidelines” suggest that women should drink no more than 15 drinks per week.
5. Ten per cent of Canadians reported using at least one illegal drug in the last 12 months.
6. A 2019 UN report notes that opioids accounts for two thirds of the deaths attributed to drug use disorders in the world.
7. Substance use problems co-occurring with other mental health problems are referred to as concurrent disorders.
8. Research shows no association between ADHD and substance use disorders.
9. People with concurrent disorders are more likely to have an increased risk of premature death.
10. The term “going cold turkey” describes withdrawal symptoms that include rapid heart rate.
11. Many people with substance use disorders will not choose to move towards total abstinence.
12. The harm reduction model is a deficit-based approach.
13. Naloxone kits are provided exclusively to emergency response professionals.
14. Methadone does not cause dependence.
15. AA views alcoholism as a disease.

Short Answer Questions

1. What are the two main types of substance-related disorders identified by the DSM 5?
2. Describe the CAGE screening tool. What does the acronym stand for, and what are the 4 questions used in the tool?
3. What are the five assumptions of the harm reduction model?
4. What four areas of harm reduction are described within the text?
5. What are the five stages of the Transtheoretical model of change?