Chapter 11: Substance-Related Disorders
Multiple-Choice Questions
11.1-1. Why does it make sense to view addiction as a mental disorder?
- The symptoms reflect behaviors that involve the pathological need for a substance.
- The most effective treatments are psychological.
- Neurochemical imbalances underlie the problematic behaviors observed.
- 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
- physiological symptoms such as tolerance and withdrawal.
- continued use despite social and occupational problems.
- pathological use of the substance.
- 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
- a psychoactive substance abuse disorder.
- tolerance.
- withdrawal symptoms.
- 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
- indicates that substance abuse has developed.
- is necessary for a diagnosis of substance abuse.
- is seen when use of any psychoactive substance is terminated.
- 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?
- Alcohol amnestic disorder
- Alcoholic intoxication
- Amphetamine delusional disorder
- 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
- has an organic impairment.
- has withdrawal symptoms when he abstains from alcohol.
- cannot be diagnosed with substance dependence.
- 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?
- Alcoholism
- Alcoholic Syndrome Disorder
- Substance-Interdependence Disorder
- 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?
- The lifetime prevalence for alcoholism in the United States is about 30 percent.
- The average life span of an alcoholic is twelve years shorter than the average citizen.
- Although alcohol impairs motor behavior, it does not lower performance on complex cognitive tasks.
- 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?
- Alcoholism is extremely serious but rarely fatal.
- Alcoholism is more common in women that in men.
- Alcoholism increases the risk of suicide.
- 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?
- Panic disorder
- Obsessive compulsive disorder
- Dissociative amnesia
- 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
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