Chapter 27: Substance Abuse Nies: Community/Public Health Nursing, 7th Edition

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, “Come on, it’s just the first course test. You’ll do 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-alteri