UTA KINE3355 Quizzes Latest 2021 June (Full)

KINE3355 ADDICTIVE BEHAVIORS

Module 1 Quiz

Question 1Addiction has been understood in three distinct ways:

  Immoral conduct

  Environmental consequence

  Personal choice

  Maladaptive behavior

  Disease

 Question 2Disease models have facilitated the adoption of inhumane public policies, such as medical care refusal and criminal punishment.

  True

  False

 Question 3Different views of substance use throughout U.S. and British history are the direct result of changes in economic, religious, and other social conditions.

  True

  False

 Question 4Which model is considered the least stigmatizing model for understanding addiction?

  Maladaptive Behavior

  Disease

  Moral

 Question 5History suggests punishment is an effective means for reducing the prevalence of addictive problems in the population.

  True

  False

 Question 6Substance misuse and substance use disorders have serious economic consequences, costing more than ______ billion annually in crime, health, and lost productivity.

  245

  193

  249

  400

 uestion 7In 2015, how many people in the United States over the age of 12 reported using illicit drugs or misused prescription drugs in the past month?

  66 million

  27 million

  35 million

  175 million

 Question 8Match each term with the correct definition.

The use of any substance in a manner, situation, amount, or frequency that can cause harm to users or to those around them.

Drinking 5 or more standard drinks for men or 4 or more standard drinks for women on the same occasion.

Return to drug use after a significant period of abstinence.

Symptoms of negative emotions such as stress, anxiety, or depression as well as physical effects such as nausea, vomiting, cramping, and others that occur when discontinuing substance use.

Clinically significant impairments in health, social function, and impaired control over substance use and are diagnosed through assessing cognitive, behavioral, and psychological symptoms.

Process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.

Alteration of the body's responsiveness to alcohol or a drug such that higher doses are required to produce the same effect achieved during initial use.

Question 9Drug use is associated with which conditions [select all that apply]:

  Pancreatic cancer

  Chronic pain

  Diabetes

  Cardiovascular diseases

 Question 10About ____ % of those with substance use disorder access and receive treatment.

  25

  10

  55

  70

 Question 11Public health interventions and policies should focus on the treatment of substance use disorders over substance misuse.

  True

  False

 Question 12People are critically at-risk of developing substance misuse problems and disorders during which period of life?

  Childhood

  Adulthood

  Adolescence

  Elderly/Senior

 Question 13Indicate whether each factor is a dynamic or static risk or protective factor.

Substance use in adolescence

Emotional competence

High availability of substances or alcohol

Self-efficacy

No history of drug or alcohol use before age 25

Family history of substance use

 

KINE3355 ADDICTIVE BEHAVIORS

Module 2 Quiz

Question 1The addiction process involves a three-stage cycle including:

  Withdrawal

  Disease

  Tolerance

  Intoxication

  Preoccupation

 Question 2Match the terms with the correct definition.

Inability to resist urges, deficits in delaying gratification, and unreflective decision-making.

Removal of a stimulus to increase the probability of a behavior

Repetitive behaviors in the face of adverse consequences and are inappropriate to a particular situation

Presentation of a stimulus to increase the probability of a behavior

Question 3The rewarding affects of substances involve activity in the nucleus accumbens by activating which neurotransmitters?

  Dopamine and serotonin

  Glutamate and dopamine

  Opioid and serotonin

  Opioid and dopamine

 Question 4Symptoms of withdrawal only occur with certain hard drugs like cocaine and heroin, regardless of the frequency of use.

  True

  False

Question 5What are the two fastest ways to get a drug to the brain.

  Transdermal

  Smoking

  Ingesting

  Injecting

 Question 6Match the addiction cycle stage with the disrupted brain area.

Withdrawal/negative affect

Preoccupation/anticipation

Binge/intoxication

Question 7Brain imaging studies in humans with addiction have consistently shown long-lasting decreases in which type of receptor compared with non-addicted individuals.

  Opioid

  Dopamine

  Glutamate

  Serotonin

Question 8Studies have shown that when an addicted person is given a stimulant, it causes a larger release of dopamine than when the same dose is given to a person who is not addicted.

  True

  False

Question 9Taking drugs or alcohol to lessen the symptoms of withdrawal that occur during a period of abstinence actually causes those symptoms to be even worse the next time a person stops taking the substance.

  True

  False

 Question 10Which medication can be used to treat an opioid overdose?

  Buprenorphine

  Naltrexone

  Methadone

  Naloxone

 Question 11Stimuli associated with addictive substances can lead to "wanting" urges that can persist after the rewarding effects of the substance have diminished and trigger substance use.

  Positive Reinforcement

  Preoccupation/Anticipation

  Incentive salience

  Withdrawal

 Question 12Fentanyl can be used as a cheap additive to many other drugs like heroin, cocaine, meth, and MDMA to increase the high a user experiences. What are the risks of using drugs laced with fentanyl? [Select all that apply]

  The user may not be aware the drug they are taking has fentanyl

  The user will have increased drug seeking behavior

  The user may be taking stronger opioids than their bodies are used to and may overdose

  The user experiences diminished sensitivity to the drug

 Question 13Prescription stimulants increase activity of which two brain chemicals:

  Norepinephrine

  Dopamine

  Serotonin

  GABA

 Question 14When prescription opioids attach to opioid receptors, they block pain signals sent from the brain to the body and release large amounts of dopamine throughout the body. This does not reinforce the act of taking the drug again.

  True

  False

 Question 15Prescription stimulants increase alertness, attention, and energy. Their misuse, including overdose, can also lead to psychosis, anger, paranoia, heart, nerve, and stomach problems. These issues could lead to a heart attack or seizures.

  True

  False

 Question 16Withdrawal symptoms for nicotine do NOT include:

  Tachycardia

  Trouble sleeping

  Problems paying attention

  Irritability

Question 17The harmful effects of opioids include all of the following except:

  Nausea

  Hypoxia

  Diarrhea

  Confusion

 Question 18Short-term effects of inhalant use include [select all that apply]:

  Dizziness

  Hypertension

  Nosebleeds

  Hypoxia

 Question 19Upon entering the blood, nicotine immediately stimulates which gland to release the hormone epinephrine?

  Thyroid

  Adrenal

  Pituitary

  Pineal

Question 20Heroin that contains additives, such as sugar, starch, or powdered milk, increase the risk of:

  Breathing that slows or even stops

  Coma or permanent brain damage

  HIV or hepatitis infections

  Clogged blood vessels causing permanent damage

 Question 21Research so far suggests that vaping devices may be less harmful when used in place of combustible cigarettes among those who regularly smoke.

  True

  False

 Question 22The effects of classic hallucinogens can begin with 20 to 90 minutes of taking them and include increased heart rate, nausea, intensified feelings and sensory experiences, and changes in sense of time.

  True

  False

 Question 23The chemical composition of synthetic cannabinoid products is often unknown and varies from batch to batch, this does not increase the risk of harm to the user.

  True

  False

 Question 24Long-term methamphetamine use includes all of the following negative consequences except:

  Changes in brain structure and function

  Meth mouth

  Intense itching and skin sores

  Extreme weight gain

 Question 25Marijuana over activates parts of the brain that react to natural THC-like chemicals. The short-term high effects include: [select all that apply]

  Difficulty problem-solving

  Altered sense of time

  Hallucinations

  Impaired body movement

 Question 26Persistent psychosis and flashbacks are two short-term effects associated with some hallucinogens.

  True

  False

 Question 27Health effects of cocaine use include: [select all that apply]

  Constricted blood vessels

  Difficulty problem solving

  Raised body temperature

  Sadness or depression

 Question 28Excessive alcohol use, including repeated episodes of binge drinking, over time contributes to liver and other chronic diseases, as well as increases in the risk of several types of cancer, including head and neck, esophageal, liver, breast, and colorectal cancers.

  True

  False

 Question 29Cocaine increases the levels of dopamine in the reward circuit by preventing dopamine from being recycled, causing large amounts to build up in the space between two nerve cells, stopping their normal communication.

  True

  False

 Question 30The long-term effects of marijuana use include [select all that apply]:

  Impaired thinking and memory

  Nausea and vomiting

  Breathing problems

  Impaired learning

 Question 31What difference does the route of administration make in terms of the drug effect and its addictiveness?

Question 32What effect does tolerance and withdrawal have on a person's experience of the drug effect and drug seeking behavior?

 

KINE3355 ADDICTIVE BEHAVIORS

Module 3 Quiz

Question 1Behavioral addictions are defined by which components [select all that apply]?

  Relapse

  Tolerance

  Mood/affect modification

  Co-morbid substance use

  Salience

 Question 2We understand behavioral addictions through the lens of which model?

  Public Health

  Biopsychosocial

  Moral

  Disease

 Question 3When the behavior becomes the most important activity in the person's life and dominates his or her thinking, feelings, and behavior, this refers to ___________.

  Anticipation

  Salience

  Mood modification

  Cues/triggers

 Question 4A common theme across behavioral addictions is the comorbidity with [select all that apply]:

  Mood and anxiety disorders

  Personality disorders

  Psychotic disorders

  Eating disorders

 Question 5Impulsivity and compulsivity may be considered ____________ factors that range independently across disorders.

  Parallel

  Equivalent

  Combined

  Intersecting

 Question 6The emotional effect the behavior has on the individual often serves as a coping strategy resulting in an arousing "rush" of tranquilizing "escape", refers to: 

  Cues/triggers

  Affect modification

  Preoccupation/Anticipation

  Salience

 Question 7It is not relevant to understand the patients sociocultural context when trying to understand their behavioral addiction.

  True

  False

 Question 8 Impulsivity is key to initiating addictive behaviors, while Self-regulation is key to maintaining addictive behaviors.

Question 9Chemical addiction and compulsive-impulsive disorders share similar neurobioloigcal pathway disruptions (extended amygdala, ventral striatal).

  True

  False

 Question 10Treatments can vary slightly for behavioral addictions compared to chemical addictions. In some cases, a [ Select ]  model may not be appropriate or even feasible, so a [ Select ]  model would be more appropriate for managing behavior.

Question 11Reward-seeking may be considered a key distinction between impulsivity and compulsivity. Impulsivity denotes rash action with the aim of achieving a reward, while compulsive behavior is typically performed with reduced regard for reward.

  True

  False

 Question 12Medications approved for use in substance addiction do not appear to provide effective treatment for compulsive-impulsive disorders.

  True

  False

 Question 13Select key elements that define impulsivity [select all that apply].

  Lack of reflection when making decisions

  Predisposition toward rapid reactions

  Habitual or stereotyped behavior

  Behavior has no obvious relationship to overall goal

 Question 14Poorly modulated emotional responses that lead to engagement in addictive behaviors refers to:

  Emotional competence

  Negative affect

  Affect dysregulation

  Self-coping

 Question 15Alterations in what system impair impulse control?

  Dopamine/Glutamate

  Dopamine/Opioid

  Serotonin/Opioid

  Serotonin/Dopamine

  Opioid/Glutamate

 Question 161) Describe at least two ways that behaviors (gambling, sex, eating) differ from drugs of abuse in terms of their addictive potential and patterns.

2) Would you classify these behaviors as “addictions,” “compulsions” or something else?

 

KINE3355 ADDICTIVE BEHAVIORS

Module 4 Quiz

Question 1Evidence-based programs and policies markedly reduce substance misuse and related threats to population health but are underutilized.

  True

  False

 Question 2 What are the three types of prevention interventions?

  Targeted

  Selective

  Protective

  Indicated

  Universal

 Question 3Which of the following are true?

  Preventive interventions aim to alter the balance between protective factors and risk factors.

  The dissemination and transfer of research findings to practice is a relatively quick process.

  The majority of schools offer effective content and delivery methods for preventing substance use in children.

  The optimal way to reduce human cost associated with substance use is to prevent or delay the onset.

 Question 4Which of the following is not true regarding the gateway hypothesis?

  Most people that use legal substances do not progress to using illicit substances.

  Marijuana causes other hard drug use.

  Legal substance use, like alcohol and tobacco, are a gateway to hard drug use.

  There is a predictable sequence by which people become involved in substance use.

 Question 5Which is an example of a universal prevention intervention?

  Jail-based programs targeting harm reduction among heroin users

  Group-based programs targeting lifeskills among families in permanent supportive housing homes

  School-based programs promoting social and emotional competencies

 Question 6 Most risk and protective factors associated with substance use also predict other problems affecting youth, including delinquency, psychiatric conditions, violence, and school dropout.

  True

  False

 Question 7Use of harm reduction strategies (needle exchange programs) can result in the following [select all that apply]:

  Increased risk of overdose and death

  Preservation of life

  Increased heroin/opioid use

  Healthy engagement of people not ready for treatment

  Reduced HIV and Hepatitis transmission

 Question 8There is clear and irrefutable evidence that PDMPs (Prescription Drug Monitoring Programs) result in lower rates of prescription drug misuse and altered prescribing practices.

  True

  False

 Question 9Which of the following are true about Naloxone [select all that apply]:

  It is an opioid antagonist used to reverse opioid overdose

  It results in increased drug use

  It causes severe life-threatening withdrawal symptoms

  It is available by prescription or over the counter

 Question 10 Which is not a reason for the treatment gap in the U.S.?

  Stigma has made people with substance use disorders less likely to seek help

  Many users who know they have a problem are not ready to quit

  Inability to access or afford care

  Extensive screening for substance misuse and substance use disorders in general health care settings

 Question 11Withdrawal management is highly effective in preventing immediate and serious medical consequences associated with discontinuing substance use and is an effective therapy by itself.

  True

  False

 Question 12 Recovery Support Services help with:

  navigating systems of care

  All of these are correct

  removing barriers to recovery

  engaging in community living

 Question 13The prevention paradox tells us:

  There is little return on investment for prevention practices

  Prevention efforts should target the large number of people at low risk of developing substance use disorders

  Funds should be directed towards the small number of people at high risk of developing substance abuse disorder to prevent disease

  Resources should be used on a case-by-case basis to prevent disease

 Question 14Only short-term use of MAT (medication-assisted treatment) is necessary to see long-term benefits.

  True

  False

 Question 151) Discuss the evidence-based logic behind harm reduction programs (needle exchange, Naloxone, Good Samaritan Laws)?

2) What (if any) harm reduction interventions would you support?

Question 161) Define agent, host and environment.

2) Give an example of an intervention that targets smoking cessation for each.

 

KINE3355 ADDICTIVE BEHAVIORS

Module 5 Quiz

Question 1The key elements of the self-determination theory are [select all that apply]:

  Desire

  Competence

  Relatedness

  Commitment

  Autonomy

 Question 2During the early stages of addiction, there is a clear connection between affect and urge to use. As addiction progresses, users like the drug less but feel they need it more.

  True

  False

 Question 3Motivational interviewing is a patient-centered conversational-style approach to talking to clients about making changes therefore, therapists are passive and do not set a direction for the conversation.

  True

  False

 

Question 4Linguistic categories that demonstrate motivation for change include all of the following except:

  Need

  Ability

  Commitment

  Desire

  Responsibility

 Question 5Relational components of Motivational Interviewing, such as empathy, collaboration, and evocation, are important for client-therapist relationship development but do not predict change outcomes.

  True

  False

 Question 6The avoidance of MI-inconsistent behaviors is key for maintaining rapport with the client, these include which of the following [select all that apply]:

  Affirming

  Directing

  Advising without permission

  Confronting

 Question 7The elicit-provide-elicit approach is an effective way to give information to a client while still supporting their autonomy and collaboration.

  True

  False

 Question 8All cases of substance use disorders (mild to severe) require specialty substance use disorder treatment program and recovery support.

  True

  False

 Question 9Which of the following are reasons people do not seek treatment [select all that apply]:

  Don't know how to find a treatment program

  Stigma associated with employment or community living

  Not ready to stop using

  Lack of health care coverage/expense

 Question 10Who is most in need of early intervention for substance use disorder?

  A male veteran with daily heroin injection use

  A middle aged women who drinks a glass of wine each night and 3-4 shots on the weekend

  A 24-year old who reported binge drinking twice in the past month

  A male athlete who takes twice the recommended dose of prescription opioids from a broken ankle last year

 Question 11Evidence suggests patients receiving medication-assisted treatment (MAT) for opioid use disorders should remain in treatment for at least how long to prevent relapse?

  5 years

  3 years

  90 days

  1 year

 Question 12Several FDA-approved medications are available for alcohol, opioid, and cocaine use disorders.

  True

  False

 Question 13The goal of cognitive-behavioral treatment for substance use disorders includes which of the following [select all that apply]:

  Modify dysfunctional thoughts

  Provide tangible rewards

  Change maladaptive behaviors

  Improve coping skills

 Question 14Which of the following are true [select all that apply]:

  About 75% of the United States prison population has an active substance use disorder.

  LGBT populations experience more severe substance misuse and have a greater likelihood of experiencing SUD.

  Dialectical behavior therapy increases recovery among American Indian or Alaska Native adolescents.

  Asian patients enter treatment with less severe substance misuse and place greater value on treatment.

  Reductions in substance use are associated with improvements in PTSD symptoms among veterans.

 Question 151) What does Self-Determination Theory tell us about what kinds of changes are more likely to persist over time?

2) Give an example of how this theory might help to design a more effective intervention for an addictive behavior.

Question 16Discuss at least three strategies that health care systems (i.e., hospitals) can implement to better address substance use and abuse using a population health approach.