Chapter 11: Substance-Related Disorders

Chapter 11: Substance-Related Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below 

 

Chapter 11: Substance-Related Disorders

 

Multiple-Choice Questions

 

11.1-1. Why does it make sense to view addiction as a mental disorder?

1. The symptoms reflect behaviors that involve the pathological need for a substance.
2. The most effective treatments are psychological.
3. Neurochemical imbalances underlie the problematic behaviors observed.
4. Substance abuse frequently develops in an attempt to self-medicate negative mood states.

Difficulty: 1

Question ID: 11.1-1

Page Ref: 368

Topic: Substance-Related Disorders

Skill: Conceptual

Answer: a. The symptoms reflect behaviors that involve the pathological need for a substance.

 

11.1-2. Unlike psychoactive substance abuse, psychoactive substance dependence usually involves

1. physiological symptoms such as tolerance and withdrawal.
2. continued use despite social and occupational problems.
3. pathological use of the substance.
4. the use of substances that laws prohibit one from buying or using.

Difficulty: 1

Question ID: 11.1-2

Page Ref: 369

Topic: Substance-Related Disorders

Skill: Factual

Answer: a. physiological symptoms such as tolerance and withdrawal.

 

11.1-3. Henry used to become intoxicated after six drinks. Now he needs ten or twelve to get the same effect. This is an example of

1. a psychoactive substance abuse disorder.
2. tolerance.
3. withdrawal symptoms.
4. an organic impairment.

Difficulty: 1

Question ID: 11.1-3

Page Ref: 369

Topic: Substance-Related Disorders

Skill: Applied

Answer: b. tolerance.

 

11.1-4. The occurrence of withdrawal symptoms

1. indicates that substance abuse has developed.
2. is necessary for a diagnosis of substance abuse.
3. is seen when use of any psychoactive substance is terminated.
4. signals that the body has adjusted to the presence of the drug.

Difficulty: 2

Question ID: 11.1-4

Page Ref: 369

Topic: Substance-Related Disorders

Skill: Conceptual

Answer: d. signals that the body has adjusted to the presence of the drug.

 

11.1-5. Which of the following is a consequence of organic impairment resulting from long-term substance use, as opposed to being a consequence of drug toxicity?

1. Alcohol amnestic disorder
2. Alcoholic intoxication
3. Amphetamine delusional disorder
4. Cannabis delirium

Difficulty: 2

Question ID: 11.1-5

Page Ref: 375

Topic: Alcohol Abuse and Dependence/The Clinical Picture of Alcohol Abuse and Dependence

Skill: Factual

Answer: a. Alcohol amnestic disorder

 

11.1-6. Judd has been drinking heavily for a number of years. When he is not drinking, he experiences profuse sweating and shakes. This indicates that Judd

1. has an organic impairment.
2. has withdrawal symptoms when he abstains from alcohol.
3. cannot be diagnosed with substance dependence.
4. has developed a tolerance for alcohol.

Difficulty: 1

Question ID: 11.1-6

Page Ref: 369

Topic: Substance-Related Disorders

Skill: Applied

Answer: b. has withdrawal symptoms when he abstains from alcohol.

 

11.1-7. Which of the following is a diagnosis found in the DSM-5?

1. Alcoholism
2. Alcoholic Syndrome Disorder
3. Substance-Interdependence Disorder
4. Alcohol Use Disorder

Difficulty: 1

Question ID: 11.1-7

Page Ref: 370

Topic: Alcohol Abuse and Dependence

Skill: Factual

Answer: d. Alcohol Use Disorder

 

11.1-8. Which of the following statements about alcohol problems is accurate?

1. The lifetime prevalence for alcoholism in the United States is about 30 percent.
2. The average life span of an alcoholic is twelve years shorter than the average citizen.
3. Although alcohol impairs motor behavior, it does not lower performance on complex cognitive tasks.
4. Alcohol abuse is a “pure” disorder, with less than 5 percent of alcohol abusers having a coexisting mental disorder.

Difficulty: 1

Question ID: 11.1-8

Page Ref: 370

Topic: Alcohol Abuse and Dependence/Prevalence, Comorbidity, and

Demographics

Skill: Factual

Answer: b. The average life span of an alcoholic is twelve years shorter than the average citizen.

 

11.1-9. Which of the following statements is true about alcohol use?

1. Alcoholism is extremely serious but rarely fatal.
2. Alcoholism is more common in women that in men.
3. Alcoholism increases the risk of suicide.
4. Alcoholism is strongly associated with accidental death, but not with violent acts.

Difficulty: 1

Question ID: 11.1-9

Page Ref: 371

Topic: Alcohol Abuse and Dependence/Prevalence, Comorbidity, and

Demographics

Skill: Factual

Answer: c. Alcoholism increases the risk of suicide.

 

11.1-10. Which mental disorder is most commonly comorbid with alcoholism?

1. Panic disorder
2. Obsessive compulsive disorder
3. Dissociative amnesia
4. Depression

Difficulty: 1

Question ID: 11.1-10

Page Ref: 371

Topic: Alcohol Abuse and Dependence/Prevalence, Comorbidity, and

Demographics

Skill: Factual

Answer: d. Depression

 

11.1-11. Observed changes in drinking patterns suggest that in the future

1. the ratio of male to female problem drinkers will increase.
2. the ratio of male to female problem drinkers will decrease.
3. the proportion of blacks that are problem drinkers will increase.
4. the proportion of blacks that are problem drinkers will decrease.

Difficulty: 1

Question ID: 11.1-11

Page Ref: 371

Topic: Alcohol Abuse and Dependence/Prevalence, Comorbidity, and

Demographics

Skill: Conceptual

Answer: b. the ratio of male to female problem drinkers will decrease.

 

11.1-12. Of the following, who is most likely to be an alcoholic?

1. A woman with no criminal history
2. A woman with multiple children
3. A male with a personality disorder
4. A male with multiple children

Difficulty: 2

Question ID: 11.1-12

Page Ref: 371

Topic: Alcohol Abuse and Dependence/Prevalence, Comorbidity, and

Demographics

Skill: Applied

Answer: c. A male with a personality disorder

 

11.1-13. Alcohol’s effects on ________ explain its ability to impair judgment.

1. dopamine
2. epinephrine
3. glutamate
4. endogenous opioids

Difficulty: 2

Question ID: 11.1-13

Page Ref: 372

Topic: Alcohol Abuse and Dependence/The Clinical Picture of Alcohol Abuse and Dependence

Skill: Factual

Answer: c. glutamate

 

11.1-14. At low levels, alcohol’s effect on the brain is ________; at higher levels, alcohol’s effect is ________.

1. to inhibit glutamate (an excitatory neurotransmitter); release opium-like endorphins
2. too minimal to have an impact; massive and excitatory
3. depressive; excitatory
4. to activate the brain’s “pleasure centers”; depress brain functioning

Difficulty: 1

Question ID: 11.1-14

Page Ref: 371-372

Topic: Alcohol Abuse and Dependence/The Clinical Picture of Alcohol Abuse and Dependence

Skill: Factual

Answer: d. to activate the brain’s “pleasure centers”; depress brain functioning

 

11.1-15. Alcoholic blackouts

1. cause hangovers.
2. are seen only with heavy drinking.
3. can occur with just moderate drinking.
4. only happen when alcohol dependence has developed.

Difficulty: 1

Question ID: 11.1-15

Page Ref: 371

Topic: Alcohol Abuse and Dependence/The Clinical Picture of Alcohol Abuse and Dependence

Skill: Factual

Answer: c. can occur with just moderate drinking.