Community Public Health Nursing 7th Edition Nies Test Bank
Chapter 27: Substance Abuse
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which preventable health problem is the cause of more deaths, illnesses, and disabilities than
any other?
a. Use of tobacco
b. Obesity
c. Sexually transmitted diseases (STDs)
d. Substance abuse
ANS: D
Perhaps no other health-related condition has as many far-reaching consequences in
contemporary Western society as substance abuse. These consequences include a wide range
of social, psychological, physical, economic, and political problems. Drug abuse and
addiction have negative consequences for individuals, families, and communities. Estimates
of the total overall costs of substance abuse in the United States, including productivity and
health- and crime-related costs exceed $700 billion annually. This includes approximately
$193 billion for illicit drugs, $295 billion for tobacco, and $224 billion for alcohol. These
numbers in dollars do not describe the extent of public health and safety implications.
DIF: Cognitive Level: Remember (Knowledge)
2. A female student was extremely upset over her test results. She thought she had studied
thoroughly, but her test grade would be totally unacceptable to her parents. Her friend said,
N R test
“Come on, it’s just the first couUrseS
IN. Yo
GTu’ll
B.C doO
M
better on the next one. Let’s go out and have
a drink. You’ll feel much better.” After the first drink, how will the upset student most likely
feel?
a. A bit nauseous
b. More relaxed and comfortable
c. Ready to have a second
d. Very thirsty
ANS: B
If one expects a certain effect, such as relief, one is more likely to feel it after use of a drug.
The satisfied expectancies may set up neural pathways that are interpreted as pleasurable. It is
unlikely that the student will feel nauseous or very thirsty after the first drink. The student
may feel ready to have a second, but that would be related to the relaxation and comfort
experienced with the first drink.
DIF: Cognitive Level: Apply (Application)
3. Which mood-altering substances are considered acceptable to use by current Western society?
a. Alcohol
b. Amphetamines
c. Barbiturates
d. Nicotine
ANS: A
, Community Public Health Nursing 7th Edition Nies Test Bank
In general, alcohol use has gained more social acceptance than other drug use. Because of the
known harmful effects of tobacco, it is not acceptable to use tobacco products, which contain
nicotine. The use of amphetamines and barbiturates are not acceptable in Western society.
DIF: Cognitive Level: Remember (Knowledge)
4. Which best explains why most states have the legal drinking age set at 21 years old?
a. At 21 years of age, most Americans consider a person an adult.
b. College is completed, and employment has begun by 21 years of age.
c. Most 21-year-olds are self-supporting and no longer dependent on parents.
d. The alcohol-related death rate rose alarmingly when drinking age was lowered to
18 years.
ANS: D
Alcohol use was highest during the 1980s, when states lowered the drinking age to 18 years of
age. Lawmakers became alarmed at the increased rate of drinking and the increased number of
alcohol-related deaths among 18- to 25-year-olds after lowering the drinking age and therefore
reversed the decision. During the late 1980s, alcohol use declined after the minimum drinking
age was reinstated to 21 years of age. Thus, the significance of the legal drinking age of 21
has to do with the problems experienced when the legal drinking age was lowered to 18, not
that 21-year-olds are considered to be “adults”, employed, or self-supporting by this age.
DIF: Cognitive Level: Understand (Comprehension)
5. Which best explains what experts believe is the causative factor in the decline in total alcohol
consumption?
a. Americans prefer less dangerous mood-altering substances
NUoho
b. Increased “sin” taxes on alc RSl IanNdGtoTbacco
B.CnOationwide
M
c. Less social tolerance and no-drinking-while-driving campaigns
d. So many movies about teenaged drinking make alcohol look adolescent
ANS: C
The decline in alcohol consumption through the 1990s and into the 21st century is attributed
to less tolerant national attitudes toward drinking, increased societal and legal pressure and
action against drinking and driving, and increased health concerns among Americans. The
decline does not have to do with Americans choosing other mood-altering substances,
increased taxation, or the media.
DIF: Cognitive Level: Understand (Comprehension)
6. Which legislation has increased funding for treatment and rehabilitation for substance abuse?
a. Drug Abuse Prevention and Control Act
b. Anti-Drug Abuse Acts of 1986 and 1988
c. Omnibus Transportation Employee Testing Act
d. Harrison Narcotic Act of 1914
ANS: B
The Anti-Drug Abuse Acts of 1986 and 1988 increased funding for treatment and
rehabilitation and also stiffened penalties for drug offenses; the 1988 act created the Office of
National Drug Control Policy.
Chapter 27: Substance Abuse
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which preventable health problem is the cause of more deaths, illnesses, and disabilities than
any other?
a. Use of tobacco
b. Obesity
c. Sexually transmitted diseases (STDs)
d. Substance abuse
ANS: D
Perhaps no other health-related condition has as many far-reaching consequences in
contemporary Western society as substance abuse. These consequences include a wide range
of social, psychological, physical, economic, and political problems. Drug abuse and
addiction have negative consequences for individuals, families, and communities. Estimates
of the total overall costs of substance abuse in the United States, including productivity and
health- and crime-related costs exceed $700 billion annually. This includes approximately
$193 billion for illicit drugs, $295 billion for tobacco, and $224 billion for alcohol. These
numbers in dollars do not describe the extent of public health and safety implications.
DIF: Cognitive Level: Remember (Knowledge)
2. A female student was extremely upset over her test results. She thought she had studied
thoroughly, but her test grade would be totally unacceptable to her parents. Her friend said,
N R test
“Come on, it’s just the first couUrseS
IN. Yo
GTu’ll
B.C doO
M
better on the next one. Let’s go out and have
a drink. You’ll feel much better.” After the first drink, how will the upset student most likely
feel?
a. A bit nauseous
b. More relaxed and comfortable
c. Ready to have a second
d. Very thirsty
ANS: B
If one expects a certain effect, such as relief, one is more likely to feel it after use of a drug.
The satisfied expectancies may set up neural pathways that are interpreted as pleasurable. It is
unlikely that the student will feel nauseous or very thirsty after the first drink. The student
may feel ready to have a second, but that would be related to the relaxation and comfort
experienced with the first drink.
DIF: Cognitive Level: Apply (Application)
3. Which mood-altering substances are considered acceptable to use by current Western society?
a. Alcohol
b. Amphetamines
c. Barbiturates
d. Nicotine
ANS: A
, Community Public Health Nursing 7th Edition Nies Test Bank
In general, alcohol use has gained more social acceptance than other drug use. Because of the
known harmful effects of tobacco, it is not acceptable to use tobacco products, which contain
nicotine. The use of amphetamines and barbiturates are not acceptable in Western society.
DIF: Cognitive Level: Remember (Knowledge)
4. Which best explains why most states have the legal drinking age set at 21 years old?
a. At 21 years of age, most Americans consider a person an adult.
b. College is completed, and employment has begun by 21 years of age.
c. Most 21-year-olds are self-supporting and no longer dependent on parents.
d. The alcohol-related death rate rose alarmingly when drinking age was lowered to
18 years.
ANS: D
Alcohol use was highest during the 1980s, when states lowered the drinking age to 18 years of
age. Lawmakers became alarmed at the increased rate of drinking and the increased number of
alcohol-related deaths among 18- to 25-year-olds after lowering the drinking age and therefore
reversed the decision. During the late 1980s, alcohol use declined after the minimum drinking
age was reinstated to 21 years of age. Thus, the significance of the legal drinking age of 21
has to do with the problems experienced when the legal drinking age was lowered to 18, not
that 21-year-olds are considered to be “adults”, employed, or self-supporting by this age.
DIF: Cognitive Level: Understand (Comprehension)
5. Which best explains what experts believe is the causative factor in the decline in total alcohol
consumption?
a. Americans prefer less dangerous mood-altering substances
NUoho
b. Increased “sin” taxes on alc RSl IanNdGtoTbacco
B.CnOationwide
M
c. Less social tolerance and no-drinking-while-driving campaigns
d. So many movies about teenaged drinking make alcohol look adolescent
ANS: C
The decline in alcohol consumption through the 1990s and into the 21st century is attributed
to less tolerant national attitudes toward drinking, increased societal and legal pressure and
action against drinking and driving, and increased health concerns among Americans. The
decline does not have to do with Americans choosing other mood-altering substances,
increased taxation, or the media.
DIF: Cognitive Level: Understand (Comprehension)
6. Which legislation has increased funding for treatment and rehabilitation for substance abuse?
a. Drug Abuse Prevention and Control Act
b. Anti-Drug Abuse Acts of 1986 and 1988
c. Omnibus Transportation Employee Testing Act
d. Harrison Narcotic Act of 1914
ANS: B
The Anti-Drug Abuse Acts of 1986 and 1988 increased funding for treatment and
rehabilitation and also stiffened penalties for drug offenses; the 1988 act created the Office of
National Drug Control Policy.
