Chapter 11: Substance-Related Disorders and Impulse-Control Disorders

MULTIPLE CHOICE

1.Joan consumes alcohol alone in her residence room when she has trouble sleeping. What level of involvement with alcohol would best apply to Joan?

a. substance use

b. substance abuse

c. substance dependence

d. intoxication

ANS: A PTS: 1 REF: 382 BLM: Higher Order

2.Candace rarely drinks alcohol, but she became very intoxicated at the office party. She began to drive herself home, but on the way she was arrested for driving under the influence. Jason has had his driver’s licence suspended three times over the past two years for driving while intoxicated, yet he never drinks on the job. Which of the following levels of involvement with alcohol would best apply to Candace and Jason?

a. Candace, abuse; Jason, use

b. Candace, use; Jason, use

c. Candace, use; Jason, abuse

d. Candace, abuse; Jason, abuse

ANS: C PTS: 1 REF: 382 BLM: Higher Order

3.Lisa has been using crack for about two months now. Although she knows it is destroying her job performance and she has been reprimanded for missing work, she refuses to give it up. She says she can quit whenever she wants to and just uses crack because she enjoys it. She tells others who question her drug use to mind their own business and leave her alone. What is Lisa’s level of involvement with the drug?

a. dependence

b. use

c. abuse

d. misuse

ANS: C PTS: 1 REF: 382 BLM: Higher Order

4.Mark has been using crack for two years. His whole life is now oriented around trying to get more crack to feed his habit. He even sells drugs to get crack money. Although he has tried repeatedly to give it up, the crash is so intense and his cravings for the rush are so strong he just can’t quit. What is Mark’s level of involvement with the drug?

a. use

b. dependence

c. abuse

d. misuse

ANS: B PTS: 1 REF: 383 BLM: Higher Order

5.According to the American Psychiatric Association, what does the term “dependence” refer to?

a. physiological dependence on a drug

b. drug-seeking behaviours such as repeated use and the desperate need to ingest more of the drug

c. a combination of the physiological as well as behavioural and psychological responses to drugs

d. repeated use and reliance on street drugs

ANS: C PTS: 1 REF: 383 BLM: Remember

6.Shannon has been using heroin for two years. Lately, she has found she must inject higher and higher dosages of the drug to get the same high she has come to expect from her drug use. What is the term for this need for higher dosages?

a. dependence

b. potentiation

c. addiction

d. tolerance

ANS: D PTS: 1 REF: 383 BLM: Higher Order

7.Jan has used crack to the point where she has impaired control over her use of it. While she experiences no withdrawal symptoms when she stops using it, she wants it so badly she cannot stop herself from taking it. What does Jan’s reliance on crack illustrate?

a. biological abuse

b. psychological dependence

c. physiological dependence

d. physiological abuse

ANS: B PTS: 1 REF: 383 BLM: Higher Order

8.When a person is physiologically dependent on a drug, what will he or she most likely experience?

a. an increased likelihood that use will resume after a period of abstinence

b. both tolerance and withdrawal

c. withdrawal symptoms if the drug is withdrawn

d. tolerance to the effects of the drug

ANS: B PTS: 1 REF: 383 BLM: Higher Order

9.George decided to abruptly quit using alcohol. He is now experiencing sweating, mental confusion, incoherent speech, disorientation, terrifying hallucinations, and extreme restlessness. What are George’s symptoms typical of?

a. alcohol poisoning

b. hypnagogic shock

c. delirium tremens

d. drug withdrawal

ANS: C PTS: 1 REF: 383 BLM: Higher Order

10.Substance dependence often involves drug-seeking behaviours. Which of the following is NOT one of these behaviours?

a. resuming drug use after a period of abstinence

b. physical symptoms when the drug is no longer used

c. repeated use of the drug

d. a desperate need to ingest more of the drug

ANS: B PTS: 1 REF: 383 BLM: Remember

11.What is the danger of using a definition of dependence that uses drug-seeking behaviours as a measure of dependence?

a. It may exclude alcohol, which is freely available in our society.

b. It may include activities such as sex, work, or even eating chocolate.

c. It makes it seem as though addicted individuals actively choose to be addicted.

d. It may exclude instances where the drug in question is prescribed by a doctor.

ANS: B PTS: 1 REF: 383 BLM: Remember

12.A 46-year-old man has terminal cancer and has been receiving fairly high doses of morphine for pain relief around the clock for several months. What level of substance involvement would best apply to this individual?

a. abuse

b. dependence

c. use

d. tolerance

ANS: B PTS: 1 REF: 383 BLM: Higher Order

13.Why did early editions of the DSM classify alcoholism and drug abuse as sociopathic personality disorders?

a. They were considered to be signs of mental illness.

b. They were considered to be a sign of moral weakness.

c. They were considered to be criminal behaviours.

d. They were considered to be symptoms of psychosis.

ANS: B PTS: 1 REF: 384 BLM: Remember

14.In an epidemiological study of six countries, including Canada, what were alcohol disorders found to be highly comorbid with?

a. schizophrenia

b. mood and anxiety disorders

c. a sociopathic personality disturbance

d. abuse of marijuana

ANS: B PTS: 1 REF: 384 BLM: Remember

15.Nick has been an alcoholic for many years. He has also experienced major depression and manic episodes. Approximately what percentage of alcoholics also have an additional psychiatric disorder?

a. 10 percent

b. 25 percent

c. 50 percent

d. 99 percent

ANS: C PTS: 1 REF: 384 BLM: Remember