Deck 20: Substance Misuse by Children and Adolescents

Question 1

It has been suggested that adolescent cigarette smoking is possibly an expression of

A)repressed anger.
B)rebellion against parental authority.
C)the attempt to use nicotine's stimulant effects to stay awake in school.
D)a desire to self-medicate adolescent angst.

Answer 1

rebellion against parental authority.

Question 2

According to your text, children who have with their parents are more likely to resist the urge to engage in substance use.

A)conflicted relationships
B)strong attachment bonds
C)strong friendships
D)many similarities

Answer 2

strong attachment bonds

Question 3

In considering the issue of substance use among children and adolescents, one frequently overlooked area of these developmental periods is the

A)quality of the attachment bond children have with their parents.
B)level of psychopathology demonstrated by instructors or other parent surrogates.
C)child's educational level and whether the child is functioning at age-specific expectations.
D)child's interpretation of the drug's effects on their ability to cope.

Answer 3

quality of the attachment bond children have with their parents.

Question 4

Parental has been found to strongly influence substance use behaviors by children and adolescents.

A)emotional dependency
B)degree of differentiation
C)style of punishment
D)control

Question 5

The "gateway" theory of substance misuse

A)has been accepted as proven fact.
B)has been challenged but has survived these challenges to be accepted by most mental health professionals.
C)has not been successfully resolved and is open to ongoing debate.
D)applies only to children under the age of 14.

Question 6

In assessing the adolescent who uses substances, the assessor can count upon the

A)firm boundaries between misuse and substance use.
B)fact that since they are illicit chemicals, any use equals misuse.
C)fact that there are no firm boundaries between experimental use, substance misuse, and substance use disorders.
D)parents as an unbiased source of information.

Question 7

Which of the following may best explain why substance misuse in early adolescence raises the individual's lifetime risk for SUD?

A)Adolescents are more likely to use marijuana than adults, which acts as a "gateway" to lifelong drug misuse.
B)The amygdala region in the brain is not yet developed in adolescence.
C)Adolescents use the prefrontal cortex to make decisions more than adults do.
D)Memories associated with strong emotions are stronger and more deeply entrenched in adolescence than adulthood.

Question 8

Adolescents tend to experience sedation from a given dose of alcohol compared to adult drinkers.

A)less
B)more
C)the same levels of
D)varying levels of

Question 9

Which of the following statements is NOT true, according to your text?

A)Many clinicians believe that any substance use during childhood and adolescence is a sign of a serious problem.
B)Clinicians are able to rely on clear definitions of "childhood" and "adulthood."
C)Some clinicians believe that experimental drug use is a regular aspect of adolescence.
D)Adolescence in industrialized countries seems to have been extended.

Question 10

Children have at least a rudimentary knowledge of alcohol and its effects , according to your text.

A)by the time of entry into third grade
B)by the time they graduate from grade school
C)depending on whether they have older siblings or not
D)by preschool

Question 11

Which of the following was NOT a reason pediatricians frequently fail to inquire about substance misuse in their patients?

A)Lack of awareness of available screening tools
B)The tendency of parents to remain in the treatment room
C)Presence of competing medical issues that require treatment
D)Lack of interest

Question 12

Children and adolescents are thought to be at vulnerability to the negative effects of alcohol or drugs.

A)an increased level of
B)a decreased level of
C)the same level of
D)an unknown level of

Question 13

The average adolescent spends approximately listening to music.

A)1 hour per day
B)3 hours per day
C)2 hours per week
D)2 hours per day

Question 14

Among high school seniors who misuse drugs, the most common illicit substance of choice is

A)alcohol.
B)cocaine.
C)marijuana.
D)MDMA ("Ecstasy").

Question 15

Cumulatively, the estimated financial cost of alcohol-related rape, homicide, assault, larceny, burglary, motor vehicle theft, loss of employment, and medical care for underage drinkers is about per mixed drink.

A)$1.50
B)$3.00
C)$4.12
D)$6.00

Question 16

By the age of 17, of adolescents will have seen one or both of their parents intoxicated.

A)11%
B)24%
C)32%
D)51%

Question 17

It has been found that of adolescents being assessed for chest pain have ephedrine in their urine, in spite of strident denials to the contrary.

A)12%
B)17%
C)21%
D)25%

Question 18

Research finds that the critical issues with regard to adolescent substance use include all but which of the following?

A)Which compounds are used
B)How often the drugs are used
C)Whether alcohol or illicit drugs are used at all
D)What quantities of drugs are used

Question 19

Research has found that adolescents who smoke are more likely to develop an alcohol use disorder later in life.

A)12%
B)25%
C)33%
D)50%

Question 20

Parents tend to their ability to influence the decisions that their children and adolescents make.

A)dismiss
B)not question
C)overly rely on
D)accept

Question 21

Explain how conduct disorder/oppositional defiant order might affect substance use in children and adolescents.

Question 22

What is the gateway theory of adolescent drug use? What has research found regarding this explanation for such problems?

Question 23

Rhonda reached puberty at age 10.According to your text, she is at a higher risk of developing an SUD than Judy, who reached puberty at age 13.

Question 24

Two-thirds of substance rehabilitation programs surveyed had specialized components for adolescents with SUDs.

Question 25

Adolescents who spend more time working than studying are less likely to engage in alcohol and tobacco use than their peers who study more than they work.

Question 26

Discuss the reasons why physicians may struggle to accurately diagnose substance use disorders in children and adolescents.What solutions can you suggest to help counter these barriers?

Question 27

Despite common misperception, adolescents who are affiliated with a structured religion are just as likely to develop a substance use problem as those who are not.

Question 28

Describe some of the reasons why children and adolescents misuse chemicals.

Question 29

Approximately 50-80% of those adolescents diagnosed with a conduct disorder will develop a substance use disorder at some point in their lives.

Question 30

What are some of the special needs of adolescence in substance misuse rehabilitation programs?