Question 1

Jim drinks alcohol and occasionally drives while intoxicated above what is considered the legal limit. His use of alcohol in situations that pose a risk to his or others' safety would warrant the DSM-5 diagnosis of ______.

Accepted Answer

The DSM-5 defines Substance Use Disorder (SUD) as a pattern of use of a substance that leads to significant impairment or distress. Jim's use of alcohol in situations that pose a risk to his or others' safety meets the criteria for SUD. The terms "substance dependence disorder," "substance abuse disorder," and "substance misuse disorder" are no longer used in the DSM-5, as they have been replaced by the single diagnosis of SUD.

Question 2

The pathway to drug dependence includes all but which of the following stages?

Accepted Answer

The stages of drug dependence typically include experimentation, routine use, and addiction or dependence. Toxic use is not a typical stage and is not included in the pathway to drug dependence.

Question 3

People who use drugs to "feel good" on an occasional basis and believe they are in control and can stop at any time are on the ______ pathway to drug dependence.

Accepted Answer

Occasional drug use with the belief of control and ability to stop at any time is characteristic of experimental drug use. However, continued and frequent experimental drug use can lead to routine use and eventually addiction or dependence.

Question 4

The DSM-5 allows clinicians to designate the severity of substance use disorders by specifying whether they are _________.

Accepted Answer

The DSM-5 allows clinicians to designate the severity of substance use disorders by specifying whether they are mild, moderate, or severe. This classification system provides a framework for assessing the severity of a substance use disorder and helps to guide treatment decisions.

Question 5

Sophie has used heroin to the point that she has developed a tolerance to it and experiences withdrawal symptoms when she tries to quit using it. She has become ______ heroin.

Accepted Answer

Developing a tolerance and experiencing withdrawal symptoms indicate physiological dependence on heroin. Psychological dependence may also be present, but it is not the best choice as it is not the primary concern in this scenario. Emotionally dependent and psychologically abusive are incorrect choices as they do not accurately describe Sophie's condition.

Question 6

In the DSM-5, tolerance and withdrawal syndromes are associated with ______

Accepted Answer

In the DSM-5, the terms "substance addiction" and "substance dependence" have been replaced by "substance use disorders," which encompass a spectrum of use patterns including those that involve tolerance and withdrawal syndromes.

Question 7

According to the DSM-5, substance abuse and substance dependence are no longer considered distinct categories and are both classified as______ disorders.

Accepted Answer

The DSM-5 now classifies both substance abuse and substance dependence as substance use disorders. This change was made to reflect the fact that these two categories share many common symptoms and are often part of a continuum of substance use problems rather than distinct entities. The new diagnostic criteria for substance use disorders emphasize the severity, frequency, and consequences of substance use rather than the presence or absence of specific symptoms.

Question 8

Jan has used cocaine 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
She has become ______ cocaine.

Accepted Answer

The term "impaired control" suggests that Jan has developed a psychological dependence on cocaine, meaning she has a strong desire or craving for the drug and has difficulty controlling or stopping her use of it. The absence of withdrawal symptoms indicates that she is not experiencing physical dependence or addiction. "Physiologically abusive" and "emotionally attached" are not commonly used terms to describe dependence on drugs.

Question 9

When people begin to structure their lives around the pursuit and use of drugs, they are on the ______ pathway to drug dependence.

Accepted Answer

The answer of When people begin to structure their lives...

Question 10

An estimated ______ percent of adults in the United States develop a substance abuse disorder at some point in their lives.

Accepted Answer

Approximately 10% of adults in the United States are estimated to develop a substance abuse disorder at some point in their lives, reflecting the significant impact of substance abuse on the population.

Question 11

The DSM-5 uses the term "substance use disorder" rather than the term "addictive disorder" because______ .

Accepted Answer

The term "substance use disorder" is preferred in the DSM-5 because it is considered less stigmatizing than the term "addiction," which can carry negative connotations and may discourage individuals from seeking help.

Question 12

When people feel powerless to resist drugs, either because they want to experience the effects of the drugs or they want to avoid the consequences of withdrawal, they are on the ______
Pathway of drug dependence.

Accepted Answer

Addiction or dependence is characterized by a feeling of powerlessness to resist drugs, as individuals continue to use them despite negative consequences. This involves both physical and psychological dependence, where a person experiences withdrawal symptoms when attempting to stop use, and may also crave the drug intensely. The other options do not capture the same level of difficulty in stopping drug use or the negative consequences associated with repeated use.

Question 13

The DSM-5 includes ________.as a new diagnostic category under Substance Use and Addictive Disorders.

Accepted Answer

Gambling disorder is included as a new diagnostic category under Substance Use and Addictive Disorders in the DSM-5, but kleptomania, sexual addiction, and pyromania are not.

Question 14

African Americans and Latinos have ________ rates of substance use disorders compared to European Americans.

Accepted Answer

The answer of African Americans and Latinos have ________ rates...

Question 15

______ means that one's body has changed as a result of regular usage of a substance, as shown by the development of tolerance for the substance, by a withdrawal syndrome, or both.

Accepted Answer

Physiological dependence refers to changes in the body that occur as a result of regular substance use, including tolerance and withdrawal symptoms. Psychological dependence refers to emotional or mental reliance on the substance, while potentiation refers to the increased effectiveness of a substance when used in combination with another substance. Emotional dependence is not a commonly used term in the field of addiction.

Question 16

Which of the following is true?

Accepted Answer

Physical dependence often involves psychological dependence, as the body and mind adapt to the presence of the drug, leading to cravings and compulsive use.

Question 17

In the DSM-5, having persistent problems cutting back or controlling alcohol use despite wanting to do so is a symptom of a substance ______.

Accepted Answer

The symptom described falls under the criteria for a substance use disorder, specifically the category of "impaired control" where an individual has difficulty controlling or reducing their substance use despite negative consequences. Dependence disorder and withdrawal disorder were terms used in previous versions of the DSM but have been replaced with the concept of a substance use disorder. Misuse disorder is not a recognized term in the DSM-5.

Question 18

The habitual or compulsive use of a drug that is accompanied by signs of physiological dependence is called ______.

Accepted Answer

Habitual or compulsive use of a drug that is accompanied by signs of physiological dependence is known as addiction. Substance misuse refers to the use of drugs in a way that is not recommended or intended, while substance abuse suggests harmful or dangerous use. Tolerance is the body's physical adaptation to a drug, which may require higher doses over time to achieve the same effect.

Question 19

Withdrawal symptoms in individuals with nonchemical addictions are typically________.

Accepted Answer

Nonchemical addictions, such as gambling or internet addiction, do not involve the physical dependence associated with substance abuse. Therefore, withdrawal symptoms tend to be more psychological in nature, such as anxiety or depression.

Question 20

Which of the following is no longer considered an Impulse Control Disorder in the DSM-5?

Accepted Answer

Gambling disorder was reclassified from an Impulse Control Disorder to an addictive disorder in the DSM-5, reflecting its similarities to substance-related disorders in terms of clinical expression, brain origin, comorbidity, physiology, and treatment.

Quiz 8: Substance-Related and Addictive Disorders