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Chapter 18. Co-Occurring Substance Misuse and Psychiatric Syndromes
MULTIPLE CHOICE
1. When asked, What causes alcoholism? the nurses response will be based on the fact that:
a. The response to alcohol is a result of a brain-based disorder.
b. Alcoholism is believed to be an allergic response to the alcohol.
c. Every individual has the same susceptibility for developing alcoholism.
d. It is a physical response to alcohol but its etiology is not fully understood. ANS: A
It has been determined that alcoholism is not an allergy but rather it is recognized as a partial
brain-based disorder that some brains are more susceptible to than others.
2. Which patient response would support the conclusion that the patient has moved into the
dark side of a narcotic addition?
a. Ive been abusing drugs for at least 10 years.
b. Drugs makes me feel good; that why I use them. c. I dont like the way I feel when I dont
use drugs.
d. Drugs are something that I can either take or leave
ANS: C
During beginning use (the light side), the feel good effects are dominant. As the individual
becomes habituated to the drug, tolerance and withdrawal symptoms develop; this constitutes
the dark side. The remaining options do not describe effects of drug use.
3. A substance use disorder (SUD) is a likely comorbid mental illness in which patient?
a. The soldier diagnosed with posttraumatic stress disorder
b. The teenager demonstrating symptoms of poor impulse control
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c. The older adult diagnosed with early stage Alzheimers disease
d. The new mother exhibiting symptoms of postpartum depression
ANS: A
Posttraumatic stress disorder creates a risk for substance use or relapse. A total of 30% to
60% of persons with SUDs meet the criteria for comorbid posttraumatic stress disorder. The
remaining options have not shown such a prevalence of comorbid relationship with SUDs.
4. Which group would be the target population for educational material on the dangers of
binge drinking?
a. Full-time college students b. Blue-collared young adults
c. Older widows and widowers
d. High school juniors and seniors
ANS: A
The highest prevalence of binge and heavy drinking is among young adults between the ages
of
18 and 25 years, with the majority being full-time college students.
5. Which social factor has the greatest impact on the changing nature of alcohol abuse
treatment?
a. Development of new pharmaceutical treatment options
b. Dramatic increase of alcoholism among young adult males
c. Raising cost of both inpatient and outpatient treatment programs d. Womens substance
abuse only recently acknowledge by society
ANS: D
The existence of an alcohol abuse problem among women has only been recently recognized
and this has dramatically affected treatments and services being provided. Although the other
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options are true, they do not have the impact on treatment modalities as much as the correct
option.
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Chapter 18. Co-Occurring Substance Misuse and Psychiatric Syndromes
MULTIPLE CHOICE
1. When asked, What causes alcoholism? the nurses response will be based on the fact that:
a. The response to alcohol is a result of a brain-based disorder.
b. Alcoholism is believed to be an allergic response to the alcohol.
c. Every individual has the same susceptibility for developing alcoholism.
d. It is a physical response to alcohol but its etiology is not fully understood. ANS: A
It has been determined that alcoholism is not an allergy but rather it is recognized as a partial
brain-based disorder that some brains are more susceptible to than others.
2. Which patient response would support the conclusion that the patient has moved into the
dark side of a narcotic addition?
a. Ive been abusing drugs for at least 10 years.
b. Drugs makes me feel good; that why I use them. c. I dont like the way I feel when I dont
use drugs.
d. Drugs are something that I can either take or leave
ANS: C
During beginning use (the light side), the feel good effects are dominant. As the individual
becomes habituated to the drug, tolerance and withdrawal symptoms develop; this constitutes
the dark side. The remaining options do not describe effects of drug use.
3. A substance use disorder (SUD) is a likely comorbid mental illness in which patient?
a. The soldier diagnosed with posttraumatic stress disorder
b. The teenager demonstrating symptoms of poor impulse control
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y ut
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, lOMoAR cPSD| 14985576
c. The older adult diagnosed with early stage Alzheimers disease
d. The new mother exhibiting symptoms of postpartum depression
ANS: A
Posttraumatic stress disorder creates a risk for substance use or relapse. A total of 30% to
60% of persons with SUDs meet the criteria for comorbid posttraumatic stress disorder. The
remaining options have not shown such a prevalence of comorbid relationship with SUDs.
4. Which group would be the target population for educational material on the dangers of
binge drinking?
a. Full-time college students b. Blue-collared young adults
c. Older widows and widowers
d. High school juniors and seniors
ANS: A
The highest prevalence of binge and heavy drinking is among young adults between the ages
of
18 and 25 years, with the majority being full-time college students.
5. Which social factor has the greatest impact on the changing nature of alcohol abuse
treatment?
a. Development of new pharmaceutical treatment options
b. Dramatic increase of alcoholism among young adult males
c. Raising cost of both inpatient and outpatient treatment programs d. Womens substance
abuse only recently acknowledge by society
ANS: D
The existence of an alcohol abuse problem among women has only been recently recognized
and this has dramatically affected treatments and services being provided. Although the other
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y ut
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mismdyo(cculamreeknetm
ismillye@
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, lOMoAR cPSD| 14985576
options are true, they do not have the impact on treatment modalities as much as the correct
option.
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