Ch 19- Addiction

Ch 19- Addiction

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1. A community health nurse is planning a substance abuse prevention program. Which
group would be the best target audience for the nurse to plan a program?
A) Teenagers in a high school health class
B) School-age children in an after-school program
C) Parents attending a parentñteacher association meeting
D) Elementary school teachers and counselors
Ans: B
Feedback:
Forty-three percent of all Americans have been exposed to alcoholism in their families.
Children of alcoholics are four times more likely than the general population to develop
problems with alcohol. Many adult people in treatment programs as adults report having
had their first drink of alcohol as a young child, when they were younger than age 10.
With the increasing rates of use being reported among young people today, this problem
could spiral out of control unless great strides can be made through programs for
prevention, early detection, and effective treatment.
2. Which statements are important reasons for why the problem of substance abuse must
be addressed? Select all that apply.
A) Increasing numbers of infants are suffering the physiologic and emotional
consequences of prenatal exposure to alcohol or drugs.
B) Chemical abuse results in increased violence.
C) Drug abuse costs business and industry an estimated $102 billion annually.
D) Alcohol abuse is a too frequent cause of or contributor to death.
E) Substance abuse is decreasing.
Ans: A, B, C, D
Feedback:
Increasing numbers of infants are suffering the physiologic and emotional consequences
of prenatal exposure to alcohol or drugs. Chemical abuse results in increased violence.
Drug abuse costs business and industry an estimated $102 billion annually. Alcohol
abuse is a too frequent cause of or contributor to death. Substance use/abuse and related
disorders are a national health problem.
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3. Which of the following groups could benefit most from prevention programs?
A) Children, prior to first use
B) Adults who have already engaged in substance abuse
C) Older adults
D) Infants
Ans: A
Feedback:
Poor outcomes have been associated with an earlier age at onset and longer periods of
substance use. Children who have not yet used substances may be easily influenced
because of their age and the fact that they have not already become addicted. Adults
who have already engaged in substance abuse will not benefit as greatly from
prevention programs as will children. Older adults will not benefit as greatly from
prevention programs as will children. Infants will not benefit from prevention programs
as they do not have self-efficacy.
4. Which of the following neurochemical influences is a probable cause of substance
abuse?
A) Imbalances of serotonin and norepinephrine in the brain
B) Inhibition of GABA in the brain
C) Excessive serotonin activity in the CNS
D) Stimulation of dopamine pathways in the brain
Ans: D
Feedback:
Neurochemical influences on substance use patterns have been studied primarily in
animal research (Jaffe & Anthony, 2005). The ingestion of mood-altering substances
stimulates dopamine pathways in the limbic system, which produces pleasant feelings or
a ìhighî that is a reinforcing, or positive, experience.