UPDATED FINAL EXAM NUR 208: TEST BANK
Concepts of Chemical Dependency, 11th Edition
Harold Doweiko and Amelia Evans
CHAPTER 1: Why Worry About Substance Misuse or Substance Use Disorders (SUDs)?
1. According to the 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) Marijuana and LSD
B) Cocaine and heroin
C) Anabolic steroids and inhalants
D) Alcohol and tobacco
Correct Answer: D
Rationale: The text notes that alcohol and tobacco use have remained fairly stable in society
despite widespread knowledge of their dangers and the various tolls these substances exact.
These substances continue to be widely used even though they carry significant health risks and
societal costs.
2. The direct and indirect cost of substance use disorders totals what percentage of the
average state's budget?
A) 5%
B) 10%
C) 15%
D) 20%
Correct Answer: C
Rationale: The direct and indirect costs of substance use disorders total approximately 15% of
the average state's budget, reflecting the substantial economic burden that SUDs place on
society through healthcare, criminal justice, and lost productivity costs.
3. Which of the following is an example of how the impact of SUDs is contributing to the rising
cost of healthcare?
,A) Approximately 20–25% of patients seen by primary care physicians have SUDs
B) Substance misuse and SUDs can cause or exacerbate more than 70 health conditions
C) Approximately one million hospital emergency room visits are the result of illicit drug use
D) All of these answers are correct
Correct Answer: D
Rationale: All of these statements are true and illustrate how SUDs contribute to rising
healthcare costs. The widespread impact of substance use disorders across healthcare settings
makes them a major driver of healthcare expenditure.
4. Substance use disorders are best understood as:
A) A moral failing requiring spiritual intervention
B) A voluntary behavior that individuals can stop at any time
C) A chronic, relapsing brain disease with biological, psychological, and social components
D) A temporary condition that resolves with willpower alone
Correct Answer: C
Rationale: The text emphasizes that substance use disorders are best understood as chronic,
relapsing brain diseases with biological, psychological, and social components. This
biopsychosocial model recognizes the complex interplay of factors contributing to SUDs rather
than viewing them as simple moral failings or voluntary behaviors.
5. Substance use disorders are:
A) Rare conditions affecting only a small portion of the population
B) Common conditions affecting millions of people
C) Conditions that only affect certain demographic groups
D) Conditions that are easily cured with minimal intervention
Correct Answer: B
Rationale: The text emphasizes that substance use disorders are common conditions affecting
millions of people, making them a significant public health concern rather than a rare
phenomenon.
6. Which of the following best describes the text's approach to substance use disorders?
A) Judgmental and moralistic
B) Non-judgmental and evidence-based
C) Focused exclusively on abstinence
D) Focused exclusively on harm reduction
,Correct Answer: B
Rationale: The text takes a non-judgmental, evidence-based approach, providing facts and
concepts needed to understand research and help clients. This approach allows for objective
understanding of SUDs without moral stigma.
7. The book covers substances that are frequently left out of other texts, including:
A) Only alcohol and tobacco
B) Only illicit drugs like heroin and cocaine
C) Aerosols, steroids, and over-the-counter analgesics
D) Only prescription medications
Correct Answer: C
Rationale: The text examines substances often left out of other books, such as aerosols,
steroids, and over-the-counter analgesics, providing a more comprehensive understanding of all
substances that can be misused.
8. The 11th edition of Concepts of Chemical Dependency reflects:
A) A decrease in information about substance use disorders
B) The explosion of information regarding understanding, identification, and treatment of
substance use disorders
C) A focus only on historical perspectives
D) A rejection of modern treatment approaches
Correct Answer: B
Rationale: The 11th edition covers the explosion of information regarding the understanding,
identification, and treatment of substance use disorders, reflecting the significant advances in
the field.
9. Besides alcohol and tobacco, which of the following is the most commonly used drug in the
world?
A) Methamphetamine
B) Marijuana
C) Cocaine
D) Opioids
Correct Answer: B
Rationale: Marijuana is the most commonly used illicit drug worldwide, second only to alcohol
and tobacco in overall substance use prevalence.
, 10. Women are more likely to develop an alcohol abuse disorder than men.
A) True
B) False
Correct Answer: False
Rationale: Men are generally more likely to develop alcohol abuse disorders than women,
though the gender gap has been narrowing in recent years.
11. Which of the following statements about the scope of substance use disorders is accurate?
A) SUDs only affect individuals who use illegal substances
B) SUDs affect individuals across all demographic groups
C) SUDs are primarily a problem in developed countries
D) SUDs have decreased significantly over the past decade
Correct Answer: B
Rationale: Substance use disorders affect individuals across all demographic groups, including
different ages, races, socioeconomic statuses, and geographic regions, making them a universal
public health concern.
12. The text suggests that the impact of SUDs on society includes:
A) Only health-related consequences
B) Only economic consequences
C) Health, economic, social, and legal consequences
D) Only consequences for the individual user
Correct Answer: C
Rationale: The text emphasizes that SUDs have multifaceted impacts on society, including
health consequences, economic costs, social disruption, and legal system involvement.
CHAPTER 2: The Nature of the Beast
13. The term "substance use disorder" as used in the text refers to:
A) Any use of any substance
B) A pattern of substance use leading to clinically significant impairment or distress
C) Only illegal drug use
D) Only alcohol use
Concepts of Chemical Dependency, 11th Edition
Harold Doweiko and Amelia Evans
CHAPTER 1: Why Worry About Substance Misuse or Substance Use Disorders (SUDs)?
1. According to the 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) Marijuana and LSD
B) Cocaine and heroin
C) Anabolic steroids and inhalants
D) Alcohol and tobacco
Correct Answer: D
Rationale: The text notes that alcohol and tobacco use have remained fairly stable in society
despite widespread knowledge of their dangers and the various tolls these substances exact.
These substances continue to be widely used even though they carry significant health risks and
societal costs.
2. The direct and indirect cost of substance use disorders totals what percentage of the
average state's budget?
A) 5%
B) 10%
C) 15%
D) 20%
Correct Answer: C
Rationale: The direct and indirect costs of substance use disorders total approximately 15% of
the average state's budget, reflecting the substantial economic burden that SUDs place on
society through healthcare, criminal justice, and lost productivity costs.
3. Which of the following is an example of how the impact of SUDs is contributing to the rising
cost of healthcare?
,A) Approximately 20–25% of patients seen by primary care physicians have SUDs
B) Substance misuse and SUDs can cause or exacerbate more than 70 health conditions
C) Approximately one million hospital emergency room visits are the result of illicit drug use
D) All of these answers are correct
Correct Answer: D
Rationale: All of these statements are true and illustrate how SUDs contribute to rising
healthcare costs. The widespread impact of substance use disorders across healthcare settings
makes them a major driver of healthcare expenditure.
4. Substance use disorders are best understood as:
A) A moral failing requiring spiritual intervention
B) A voluntary behavior that individuals can stop at any time
C) A chronic, relapsing brain disease with biological, psychological, and social components
D) A temporary condition that resolves with willpower alone
Correct Answer: C
Rationale: The text emphasizes that substance use disorders are best understood as chronic,
relapsing brain diseases with biological, psychological, and social components. This
biopsychosocial model recognizes the complex interplay of factors contributing to SUDs rather
than viewing them as simple moral failings or voluntary behaviors.
5. Substance use disorders are:
A) Rare conditions affecting only a small portion of the population
B) Common conditions affecting millions of people
C) Conditions that only affect certain demographic groups
D) Conditions that are easily cured with minimal intervention
Correct Answer: B
Rationale: The text emphasizes that substance use disorders are common conditions affecting
millions of people, making them a significant public health concern rather than a rare
phenomenon.
6. Which of the following best describes the text's approach to substance use disorders?
A) Judgmental and moralistic
B) Non-judgmental and evidence-based
C) Focused exclusively on abstinence
D) Focused exclusively on harm reduction
,Correct Answer: B
Rationale: The text takes a non-judgmental, evidence-based approach, providing facts and
concepts needed to understand research and help clients. This approach allows for objective
understanding of SUDs without moral stigma.
7. The book covers substances that are frequently left out of other texts, including:
A) Only alcohol and tobacco
B) Only illicit drugs like heroin and cocaine
C) Aerosols, steroids, and over-the-counter analgesics
D) Only prescription medications
Correct Answer: C
Rationale: The text examines substances often left out of other books, such as aerosols,
steroids, and over-the-counter analgesics, providing a more comprehensive understanding of all
substances that can be misused.
8. The 11th edition of Concepts of Chemical Dependency reflects:
A) A decrease in information about substance use disorders
B) The explosion of information regarding understanding, identification, and treatment of
substance use disorders
C) A focus only on historical perspectives
D) A rejection of modern treatment approaches
Correct Answer: B
Rationale: The 11th edition covers the explosion of information regarding the understanding,
identification, and treatment of substance use disorders, reflecting the significant advances in
the field.
9. Besides alcohol and tobacco, which of the following is the most commonly used drug in the
world?
A) Methamphetamine
B) Marijuana
C) Cocaine
D) Opioids
Correct Answer: B
Rationale: Marijuana is the most commonly used illicit drug worldwide, second only to alcohol
and tobacco in overall substance use prevalence.
, 10. Women are more likely to develop an alcohol abuse disorder than men.
A) True
B) False
Correct Answer: False
Rationale: Men are generally more likely to develop alcohol abuse disorders than women,
though the gender gap has been narrowing in recent years.
11. Which of the following statements about the scope of substance use disorders is accurate?
A) SUDs only affect individuals who use illegal substances
B) SUDs affect individuals across all demographic groups
C) SUDs are primarily a problem in developed countries
D) SUDs have decreased significantly over the past decade
Correct Answer: B
Rationale: Substance use disorders affect individuals across all demographic groups, including
different ages, races, socioeconomic statuses, and geographic regions, making them a universal
public health concern.
12. The text suggests that the impact of SUDs on society includes:
A) Only health-related consequences
B) Only economic consequences
C) Health, economic, social, and legal consequences
D) Only consequences for the individual user
Correct Answer: C
Rationale: The text emphasizes that SUDs have multifaceted impacts on society, including
health consequences, economic costs, social disruption, and legal system involvement.
CHAPTER 2: The Nature of the Beast
13. The term "substance use disorder" as used in the text refers to:
A) Any use of any substance
B) A pattern of substance use leading to clinically significant impairment or distress
C) Only illegal drug use
D) Only alcohol use
