Substance-related & Addictive Disorders

Question 1

What are substances?

Answer 1

They refer to a drug (this includes alcohol), medication–prescribed or not, or toxin.

Question 2

How many classes of substances?

Answer 2

10

Question 3

In how many ways can substance-related disorders be diagnosed?

Answer 3

3

Question 4

What are the 3 ways for substance-related disorders to be diagnosed?

Answer 4

Substance use d/o
Substance Intoxication
Substance withdrawal

Question 5

What does a person must exhibit in the diagnostic criteria for Substance Use d/o?

Answer 5

a pathological pattern of behaviors related to use of the substances

Question 6

How many must a person exhibit in the diagnostic criteria for Substance Use d/o?

Answer 6

2 or more

Question 7

You do need to experience withdrawal or tolerance to have a substance use diagnosis.
True OR False.

Answer 7

False. You DO NOT need to experience withdrawal or tolerance to have a substance use diagnosis.

Question 8

When diagnosing every diagnosis for Substance Use what do you need to note about the symptoms?

Answer 8

You will need to note the severity of symptoms such as, mild, moderate, or severe.

Question 9

What does mild symptoms indicate?

Answer 9

Indicate if your client experiences 2 or 3 of the diagnostic criteria for Substance Use d/o.

Question 10

What does moderate symptoms indicate?

Answer 10

Indicate if your client experiences 4 or 5 of the diagnostic criteria for Substance Use d/o.

Question 11

What does severe symptoms indicate?

Answer 11

Should be noted if your client is experiencing 6 or more of the diagnostic criteria for Substance Use d/o.

Question 12

If your client has withdrawal symptoms or describes signs of tolerance to the drug, the disorder tends to be more what?

• Mild
• Moderate
• Severe

Answer 12

Severe

Question 13

You should not specify if your client is “On maintenance therapy” OR “In a controlled environment.”
True OR False.

Answer 13

False. You should specify if your client is “On maintenance therapy” OR “In a controlled environment.”

Question 14

What may be different if your client is if your client is “On maintenance therapy” OR “In a controlled environment.”?

Answer 14

Treatment plans

Question 15

What does substance intoxication refer to?

Answer 15

Refers to the reversible substance-specific syndrome following the recent consumption or exposure to a substance.

Question 16

The criteria for substance intoxication will vary across what?

Answer 16

Drug class

Question 17

What one class substance is excluded from the list for substance intoxication?

Answer 17

Tobacco

Question 18

What is substance withdrawal?

Answer 18

Refers to the changes in physiology and cognition due to substance cessation or as the substance is leaving a person’s system.

Question 19

Symptoms of substance withdrawal do cause significant distress and impairment.
True OR False.

Answer 19

True

Question 20

It is NOT clinically important to work with a medical team if someone is in need of services during intoxication or detox. True OR False.

Answer 20

False. It is clinically important to work with a medical team if someone is in need of services during intoxication or detox.

Question 21

Substance-induced d/os are when symptoms (ex, mania or depression) are judged to be a consequence of the substance use.
True OR False.

Answer 21

True

Question 22

If substance-induced symptoms persist after a period of abstinence (around four weeks), it may be a substance-induced d/o.
True OR False.

Answer 22

False. If substance-induced symptoms persist after a period of abstinence (around four weeks), it may NOT be a substance-induced d/o.

Question 23

If substance-induced symptoms persist after a period of abstinence (around four weeks), it may be a substance-induced d/o, then what should you consider?

Answer 23

Consider in changing the dx to a proper mental illness dx.

Question 24

Which of following are NOT true about alcohol intoxication?

• slurred speech
• involuntary eye movements
• insomnia
• impairment in attention or memory

Answer 24

Insomnia

Question 25

Withdrawal does NOT include autonomic hyperactivity (ex palpitations, shortness of breath), hand tremor, insomnia, nausea or vomiting, hallucinations, psychomotor agitation, anxiety, and seizure. True OR False.

Answer 25

False. Withdrawal DOES include autonomic hyperactivity (ex palpitations, shortness of breath), hand tremor, insomnia, nausea or vomiting, hallucinations, psychomotor agitation, anxiety, and seizure.

Question 26

Hallucinogens can be diagnosed with use, intoxication, and withdrawal. True OR False.

Answer 26

False. Hallucinogens can be diagnosed with ONLY use and intoxication b/c there is limited research on withdrawal.

Question 27

What of the following indicate intoxication for hallucinogens use? - duration varies with drug - Phencyclidine: hypertension - tachycardia (rapid heartbeat) - numbness - loss of coordination - All

Answer 27

All

Question 28

Inhalants can be diagnosed with use or intoxication. | True OR False.

Answer 28

True

Question 29

Glues, gases, fuels, paints are not considered volatile hydrocarbon inhalants. True OR False.

Answer 29

False. Glues, gases, fuels, paints ARE considered volatile hydrocarbon inhalants.

Question 30

Opioid cannot diagnose use, intoxication, or withdrawal. | True OR False.

Answer 30

False. Opioid CAN diagnose use, intoxicaton, and withdrawal.

Question 31

Stimulants can be diagnosed as use, intoxication, or withdrawal. True or False.

Answer 31

True

Question 32

When assessing for substance use and the subsequent treatment planning, always remember to assess for: - potential barriers to recovery - the degree of risk of continued use in the environment, social network, interpersonally - coping skills, social skills, and resources for managing high-risk events - Stage of change/Motivation to change - All

Answer 32

All

Question 33

There is not a high risk in relapse. | True OR False.

Answer 33

False. There IS a high risk in relapse.

Question 34

It is important to gather information from multiple sources to fully assess your client. True OR False.

Answer 34

True

Question 35

It is common not for people to use multiple substances (i.e., polysubstance use). True OR False.

Answer 35

False. It IS common for people to use multiple substances (i.e., polysubstance use).

Question 36

There is a high prevalence of substance use among 18-24 YO. | True OR False.

Answer 36

True

Question 37

There is a high rate of co-occurring mental disorders and substance use. True OR False.

Answer 37

True

Question 38

There is also a risk for deterioration in general health for people with more chronic abuse. True OR False.

Answer 38

True