ATI SUBSTANCE RELATED AND ADDICTION
DISORDERS EXAM WITH VERIFIED
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+|| GUARANTEED PASS|| LATEST
VERSION 2025
How does cannabis use disorder differ from other mental disorders? -
ANSWER-Other mental disorders. Cannabis-induced disorder may be
characterized by symptoms (e.g., anxiety) that resemble primary mental
disorders (e.g., generalized anxiety disorder vs. cannabis-induced anxiety
disorder, with generalized anxiety, with onset during intoxication). Chronic
intake of cannabis can produce a lack of motivation that resembles persistent
depressive disorder (dysthymia). Acute adverse reactions to cannabis should be
differentiated from the symptoms of panic disorder, major depressive disorder,
delusional disorder, bipolar disorder, or schizophrenia, paranoid type. Physical
examination will usually show an increased pulse and conjunctival injection.
Urine toxicological testing can be helpful in making a diagnosis.
What other disorders does cannabis disorder have a high comorbidity with? -
ANSWER-Cannabis has been commonly thought of as a "gateway" drug
because individuals who frequently use cannabis have a much greater lifetime
probability than nonusers of using what are commonly considered more
dangerous substances, like opioids or cocaine. Cannabis use and cannabis use
disorder are highly comorbid with other substance use disorders.
What other disorders are common in cannabis use disorder? - ANSWER-Co-
occurring mental conditions are common in cannabis use disorder. Cannabis use
has been associated with poorer life satisfaction; increased mental health
treatment and hospitalization; and higher rates of depression, anxiety disorders,
,suicide attempts, and conduct disorder. Individuals with past-year or lifetime
cannabis use disorder have high rates of alcohol use disorder (greater than 50%)
and tobacco use disorder (53%). Rates of other substance use disorders are also
likely to be high among individuals with cannabis use disorder.
What is the functional impact of alcohol use disorder - ANSWER-The
diagnostic features of alcohol use disorder highlight major areas of life
functioning likely to be impaired. These include driving and operating
machinery, school and work, interpersonal relationships and communication,
and health. Alcohol-related disorders contribute to absenteeism from work, job-
related accidents, and low employee productivity. Rates are elevated in
homeless individuals, perhaps reflecting a downward spiral in social and
occupational functioning, although most individuals with alcohol use disorder
continue to live with their families and function within their jobs.
What are the consequences of alcohol use disorder? - ANSWER-Alcohol use
disorder is associated with a significant increase in the risk of accidents,
violence, and suicide.
It is estimated that one in five intensive care unit admissions in some urban
hospitals is related to alcohol and that 40% of individuals in the United States
experience an alcohol-related adverse event at some time in their lives, with
alcohol accounting for up to 55% of fatal driving events.
Severe alcohol use disorder, especially in individuals with antisocial personality
disorder, is associated with the commission of criminal acts, including
homicide.
Severe problematic alcohol use also contributes to disinhibition and feelings of
sadness and irritability, which contribute to suicide attempts and completed
suicides.
What is a possible impact of unanticipated alcohol withdrawal? - ANSWER-
Unanticipated alcohol withdrawal in hospitalized individuals for whom a
,diagnosis of alcohol use disorder has been overlooked can add to the risks and
costs of hospitalization and to time spent in the hospital.
What are Nonpathological use of alcohol? - ANSWER-The key element of
alcohol use disorder is the use of heavy doses of alcohol with resulting repeated
and significant distress or impaired functioning.
While most drinkers sometimes consume enough alcohol to feel intoxicated,
only a minority (less than 20%) ever develop alcohol use disorder.
Therefore, drinking, even daily, in low doses and occasional intoxication do not
by themselves make this diagnosis.
What is the relationship between sedative, hypnotic, or anxiolytic use disorder
and alcohol use disorder? - ANSWER-The signs and symptoms of alcohol use
disorder are similar to those seen in sedative, hypnotic, or anxiolytic use
disorder. The two must be distinguished, however, because the course may be
different, especially in relation to medical problems.
What is the impact of conduct disorder in childhood and adult antisocial
personality disorder and alcohol use disorder? - ANSWER-Alcohol use
disorder, along with other substance use disorders, is seen in the majority of
individuals with antisocial personality and preexisting conduct disorder.
Because these diagnoses are associated with an early onset of alcohol use
disorder as well as a worse prognosis, it is important to establish both
conditions.
What disorders are associated with a markedly increased rate of alcohol use
disorder? - ANSWER-Bipolar disorders, schizophrenia, and antisocial
personality disorder are associated with a markedly increased rate of alcohol use
disorder, and several anxiety and depressive disorders may relate to alcohol use
disorder as well. At least a part of the reported association between depression
and i^oderate to severe alcohol use disorder may be attributable to temporary, al
cohol-induced comorbid depressive symptoms resulting from the acute effects
, of intoxication or withdrawal. Severe, repeated alcohol intoxication may also
suppress immune mechanisms and predispose individuals to infections and
increase the risk for cancers.
How common is a secondary or tertiary substance used with cannabis? -
ANSWER-Among those seeking treatment for a cannabis use disorder, 74%
report problematic use of a secondary or tertiary substance:
alcohol (40%),
cocaine (12%),
methamphetamine (6%), and
heroin or other opiates (2%).
Among those younger than 18 years, 61% reported problematic use of a
secondary substance:
alcohol (48%),
cocaine (4%),
methamphetamine (2%), and
heroin or other opiates (2%).
How often is cannabis use disorder observed as a secondary problem? -
ANSWER-Cannabis use disorder is also often observed as a secondary problem
among those with a primary diagnosis of other substance use disorders, with
approximately 25%-80% of those in treatment for another substance use
disorder reporting use of cannabis.
How common are concurrent mental disorders in individuals with cannabis use
disorder? - ANSWER-Individuals with past-year or lifetime diagnoses of
cannabis use disorder also have high rates of concurrent mental disorders other
than substance use disorders. Major depressive disorder (11%), any anxiety
disorder (24%), and bipolar I disorder (13%) are quite common among
individuals with a past-year diagnosis of a cannabis use disorder, as are
antisocial (30%), obsessive-compulsive, (19%), and paranoid (18%) personality
DISORDERS EXAM WITH VERIFIED
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+|| GUARANTEED PASS|| LATEST
VERSION 2025
How does cannabis use disorder differ from other mental disorders? -
ANSWER-Other mental disorders. Cannabis-induced disorder may be
characterized by symptoms (e.g., anxiety) that resemble primary mental
disorders (e.g., generalized anxiety disorder vs. cannabis-induced anxiety
disorder, with generalized anxiety, with onset during intoxication). Chronic
intake of cannabis can produce a lack of motivation that resembles persistent
depressive disorder (dysthymia). Acute adverse reactions to cannabis should be
differentiated from the symptoms of panic disorder, major depressive disorder,
delusional disorder, bipolar disorder, or schizophrenia, paranoid type. Physical
examination will usually show an increased pulse and conjunctival injection.
Urine toxicological testing can be helpful in making a diagnosis.
What other disorders does cannabis disorder have a high comorbidity with? -
ANSWER-Cannabis has been commonly thought of as a "gateway" drug
because individuals who frequently use cannabis have a much greater lifetime
probability than nonusers of using what are commonly considered more
dangerous substances, like opioids or cocaine. Cannabis use and cannabis use
disorder are highly comorbid with other substance use disorders.
What other disorders are common in cannabis use disorder? - ANSWER-Co-
occurring mental conditions are common in cannabis use disorder. Cannabis use
has been associated with poorer life satisfaction; increased mental health
treatment and hospitalization; and higher rates of depression, anxiety disorders,
,suicide attempts, and conduct disorder. Individuals with past-year or lifetime
cannabis use disorder have high rates of alcohol use disorder (greater than 50%)
and tobacco use disorder (53%). Rates of other substance use disorders are also
likely to be high among individuals with cannabis use disorder.
What is the functional impact of alcohol use disorder - ANSWER-The
diagnostic features of alcohol use disorder highlight major areas of life
functioning likely to be impaired. These include driving and operating
machinery, school and work, interpersonal relationships and communication,
and health. Alcohol-related disorders contribute to absenteeism from work, job-
related accidents, and low employee productivity. Rates are elevated in
homeless individuals, perhaps reflecting a downward spiral in social and
occupational functioning, although most individuals with alcohol use disorder
continue to live with their families and function within their jobs.
What are the consequences of alcohol use disorder? - ANSWER-Alcohol use
disorder is associated with a significant increase in the risk of accidents,
violence, and suicide.
It is estimated that one in five intensive care unit admissions in some urban
hospitals is related to alcohol and that 40% of individuals in the United States
experience an alcohol-related adverse event at some time in their lives, with
alcohol accounting for up to 55% of fatal driving events.
Severe alcohol use disorder, especially in individuals with antisocial personality
disorder, is associated with the commission of criminal acts, including
homicide.
Severe problematic alcohol use also contributes to disinhibition and feelings of
sadness and irritability, which contribute to suicide attempts and completed
suicides.
What is a possible impact of unanticipated alcohol withdrawal? - ANSWER-
Unanticipated alcohol withdrawal in hospitalized individuals for whom a
,diagnosis of alcohol use disorder has been overlooked can add to the risks and
costs of hospitalization and to time spent in the hospital.
What are Nonpathological use of alcohol? - ANSWER-The key element of
alcohol use disorder is the use of heavy doses of alcohol with resulting repeated
and significant distress or impaired functioning.
While most drinkers sometimes consume enough alcohol to feel intoxicated,
only a minority (less than 20%) ever develop alcohol use disorder.
Therefore, drinking, even daily, in low doses and occasional intoxication do not
by themselves make this diagnosis.
What is the relationship between sedative, hypnotic, or anxiolytic use disorder
and alcohol use disorder? - ANSWER-The signs and symptoms of alcohol use
disorder are similar to those seen in sedative, hypnotic, or anxiolytic use
disorder. The two must be distinguished, however, because the course may be
different, especially in relation to medical problems.
What is the impact of conduct disorder in childhood and adult antisocial
personality disorder and alcohol use disorder? - ANSWER-Alcohol use
disorder, along with other substance use disorders, is seen in the majority of
individuals with antisocial personality and preexisting conduct disorder.
Because these diagnoses are associated with an early onset of alcohol use
disorder as well as a worse prognosis, it is important to establish both
conditions.
What disorders are associated with a markedly increased rate of alcohol use
disorder? - ANSWER-Bipolar disorders, schizophrenia, and antisocial
personality disorder are associated with a markedly increased rate of alcohol use
disorder, and several anxiety and depressive disorders may relate to alcohol use
disorder as well. At least a part of the reported association between depression
and i^oderate to severe alcohol use disorder may be attributable to temporary, al
cohol-induced comorbid depressive symptoms resulting from the acute effects
, of intoxication or withdrawal. Severe, repeated alcohol intoxication may also
suppress immune mechanisms and predispose individuals to infections and
increase the risk for cancers.
How common is a secondary or tertiary substance used with cannabis? -
ANSWER-Among those seeking treatment for a cannabis use disorder, 74%
report problematic use of a secondary or tertiary substance:
alcohol (40%),
cocaine (12%),
methamphetamine (6%), and
heroin or other opiates (2%).
Among those younger than 18 years, 61% reported problematic use of a
secondary substance:
alcohol (48%),
cocaine (4%),
methamphetamine (2%), and
heroin or other opiates (2%).
How often is cannabis use disorder observed as a secondary problem? -
ANSWER-Cannabis use disorder is also often observed as a secondary problem
among those with a primary diagnosis of other substance use disorders, with
approximately 25%-80% of those in treatment for another substance use
disorder reporting use of cannabis.
How common are concurrent mental disorders in individuals with cannabis use
disorder? - ANSWER-Individuals with past-year or lifetime diagnoses of
cannabis use disorder also have high rates of concurrent mental disorders other
than substance use disorders. Major depressive disorder (11%), any anxiety
disorder (24%), and bipolar I disorder (13%) are quite common among
individuals with a past-year diagnosis of a cannabis use disorder, as are
antisocial (30%), obsessive-compulsive, (19%), and paranoid (18%) personality
