Question 1

Which of the following most accurately reflects a self-reported barrier to receiving intervention for substance use disorders?&#10;A) No social supports to stop using&#10;B) Not ready to stop using&#10;C) Increased knowledge of treatment resources&#10;D) Potential positive impacts on the job

Accepted Answer

Not being ready to stop using is a commonly self-reported barrier to seeking treatment for substance use disorders, as individuals may not feel prepared to make the necessary changes in their lives.

Question 2

As an occupational therapy practitioner working with individuals with substance use disorder, you want to use an approach where you establish a rapport with your client and help the individual identify why he or she wants to change the behavior. Which approach does this best represent?

A) Cognitive behavioral therapy
B) Screening brief intervention and referral to treatment
C) Mindfulness meditation
D) Motivational interviewing

D

Accepted Answer

Motivational interviewing is an approach used to help individuals identify their own reasons for changing their behavior. It emphasizes the importance of establishing a rapport with the client and using a non-judgmental, empathetic approach to promote change. Cognitive behavioral therapy focuses on identifying and changing negative thought patterns and behaviors, while screening brief intervention and referral to treatment is a brief intervention designed to screen for substance use and provide referrals for further treatment. Mindfulness meditation is a practice used to promote relaxation and reduce stress.

Question 3

Which of the following is most representative of the prevalence of substance use in the United States?&#10;A) One-half of Americans aged 16 and older have consumed alcohol.&#10;B) Tobacco use is highest among those 50 to 56 years old.&#10;C) Illicit drug use is most common among those 30 to 35 years old.&#10;D) Binge-drinking is most common among those 18 to 29 years old.

Accepted Answer

According to national surveys, binge-drinking is most common among those 18 to 29 years old. While choice A is true, it only pertains to alcohol consumption and not other substances. Choice B is specific to tobacco and does not consider other substances. Choice C suggests that those in their 30s are the most common users of illicit drugs, but this does not necessarily reflect overall substance use prevalence.

Question 4

Which of the following best describes a high-risk population for opioid addiction?&#10;A) Persons with personality disorders&#10;B) Young adults&#10;C) Persons being treated for chronic pain&#10;D) Persons with conduct disorder

Accepted Answer

Persons being treated for chronic pain are a high-risk population for opioid addiction due to the potential for long-term opioid use and dependence. Personality disorders and conduct disorder may contribute to addiction risk but are not as directly related to opioid use as chronic pain treatment. While young adults may be vulnerable to addiction, they are not necessarily at higher risk than any other age group.

Question 5

Which of the following best reflects the impact of substance use disorders on occupational performance?&#10;A) Substance use only impacts the individual diagnosed with a disorder.&#10;B) Substance use only results in negative consequences on occupational performance.&#10;C) All areas of occupation can be impacted by substance use disorders.&#10;D) Healthy environments do not impact substance use and occupational performance.

Accepted Answer

Substance use disorders can impact all areas of occupation including work, leisure, self-care, and social participation. The effects can range from absenteeism and decreased productivity to interpersonal conflicts and legal issues. It is important for occupational therapists to address these impacts and support clients in their recovery journey. Option A and B are not accurate as substance use disorders can impact both the individual and those around them, and not all consequences are negative. Option D is also not accurate as environmental factors such as stress, social support, and availability of resources can impact substance use and occupational performance.

Question 6

Yolanda has been consuming excess amounts of alcohol for the past 5 years. She has stated she wants to stop but can't. She states that when she has tried to stop she gets withdrawal symptoms that are intolerable and she has to take a drink to alleviate the symptoms. Her family reports that she has difficulty keeping a job and her parenting skills have been negatively impacted. Yolanda has received two citations for driving while intoxicated but continues to drink. Which of the following diagnoses best represents Yolanda's situation?

A) Co-occurring disorder
B) Substance use disorder
C) Multi-substance disorder
D) Mood disorder

Accepted Answer

Yolanda meets criteria for substance use disorder, specifically alcohol use disorder, as she meets at least three of the criteria in the DSM-5 such as persistent desire or unsuccessful efforts to cut down on alcohol use, withdrawal symptoms when she tries to stop, and negative impact on her work and parenting. Co-occurring disorder refers to the presence of both a substance use disorder and another mental disorder, and there is no information given about Yolanda having another mental disorder. Multi-substance disorder refers to the use of multiple substances, and there is no information given suggesting that Yolanda uses substances other than alcohol. Mood disorder refers to a group of mental disorders characterized by disturbances in mood, and there is no information given to suggest that Yolanda has any mood disorder.

Deck 17: Substance Abuse and Co-Occurring Disorders