CMN 350 EXAM 4 | QUESTIONS AND ANSWERS | 2026
UPDATE | WITH COMPLETE SOLUTION
All addicting substances affect the __________ pathways associated with the
reinforcing effect of the substance. Answer - dopamine
Repeated exposure seems to alter _________ permanently. Answer - neurons
What are some different substance classifications? Answer - alcohol,
depressants, inhalants, opioids, stimulants, amphetamines, hallucinogens
What is one of the first assessment questions for a patient coming in with
substance abuse? Answer - ask when the last time they used and how much
What are some other assessment components for substance abuse? Answer -
amount/type of alcohol or drugs (AOD), medical problems associated with AOD
in patient and family members, blood and urine drug screens, look for
suspicious signs and symptoms, use screening test (AUDIT).
A high priority is to ask patient to state ___________ and _____________ of
last drink. Answer - date, time
What are some examples of legal drug use? Answer - caffeine, nictotine
Identifies hazardous alcohol use or alcohol use disorder. Answer - AUDIT
,Not useful in determining risky drinking; quick indicator of candidacy for
standardized interview for alcohol use disorder.
"Need to cut back? Family memebers annoyed by drinking? Guilty about
drinking? Do you have to have a drink in the morning to start day (eye
opener)?" Answer - CAGE questionnaire
Lets you know their readiness to change harmful behaviors. Answer -
Transtheoretical model
What are the stages of change? Answer - pre-contemplation, contemplation,
preparation, action, maintenance, relapse
What is an appropriate patient goal for change? Answer - complete abstinence
What are some symptoms of alcohol withdrawal? Answer - tremors, nausea,
vomiting, tachycardia, diaphoresis, seizures, anxiety, and depression
Drugs to treat alcohol withdrawal. Answer - benzodiazepines
Drug to treat alcohol disorder; makes drinking painful Answer - Disulfiram
Drug to treat alcohol disorder; decreases the pleasure of drinking. Answer -
Naltrexone
Drug to treat alcohol disorder; restores the chemical balance in the alcoholic
brain. Answer - Acamprosate
, Drug to treat alcohol disorder; alcohol interferes with Vitamin B absorption.
Answer - Thiamine supplements
Primary effect of overdose on barbiturates/benzodiazepines? Answer -
respiratory depression
Effects of barbiturates/benzodiazepines are? Answer - euphoria, disinhibition,
and drowsiness
Withdrawal from CNS depressants can be__________. Answer - life-
threatening
Opioid receptor blocker given by first responders. Answer - Naloxone
- Full opioid agonist (narcotic).
- Reduces withdrawal symptoms in people addicted to heroin or other narcotic
drugs without causing the "high" associated with the drug addiction. Answer -
Methadone
-Opioid partial agonist
- Weaker than methodone/heroin
- Decreases effects of withdrawal, cravings
- Lower potential for misuse
- Can taper over time Answer - Buprenorphine
Combination of buprenorphine and naloxone.
- Sublingual film
- 8mg/2mg
UPDATE | WITH COMPLETE SOLUTION
All addicting substances affect the __________ pathways associated with the
reinforcing effect of the substance. Answer - dopamine
Repeated exposure seems to alter _________ permanently. Answer - neurons
What are some different substance classifications? Answer - alcohol,
depressants, inhalants, opioids, stimulants, amphetamines, hallucinogens
What is one of the first assessment questions for a patient coming in with
substance abuse? Answer - ask when the last time they used and how much
What are some other assessment components for substance abuse? Answer -
amount/type of alcohol or drugs (AOD), medical problems associated with AOD
in patient and family members, blood and urine drug screens, look for
suspicious signs and symptoms, use screening test (AUDIT).
A high priority is to ask patient to state ___________ and _____________ of
last drink. Answer - date, time
What are some examples of legal drug use? Answer - caffeine, nictotine
Identifies hazardous alcohol use or alcohol use disorder. Answer - AUDIT
,Not useful in determining risky drinking; quick indicator of candidacy for
standardized interview for alcohol use disorder.
"Need to cut back? Family memebers annoyed by drinking? Guilty about
drinking? Do you have to have a drink in the morning to start day (eye
opener)?" Answer - CAGE questionnaire
Lets you know their readiness to change harmful behaviors. Answer -
Transtheoretical model
What are the stages of change? Answer - pre-contemplation, contemplation,
preparation, action, maintenance, relapse
What is an appropriate patient goal for change? Answer - complete abstinence
What are some symptoms of alcohol withdrawal? Answer - tremors, nausea,
vomiting, tachycardia, diaphoresis, seizures, anxiety, and depression
Drugs to treat alcohol withdrawal. Answer - benzodiazepines
Drug to treat alcohol disorder; makes drinking painful Answer - Disulfiram
Drug to treat alcohol disorder; decreases the pleasure of drinking. Answer -
Naltrexone
Drug to treat alcohol disorder; restores the chemical balance in the alcoholic
brain. Answer - Acamprosate
, Drug to treat alcohol disorder; alcohol interferes with Vitamin B absorption.
Answer - Thiamine supplements
Primary effect of overdose on barbiturates/benzodiazepines? Answer -
respiratory depression
Effects of barbiturates/benzodiazepines are? Answer - euphoria, disinhibition,
and drowsiness
Withdrawal from CNS depressants can be__________. Answer - life-
threatening
Opioid receptor blocker given by first responders. Answer - Naloxone
- Full opioid agonist (narcotic).
- Reduces withdrawal symptoms in people addicted to heroin or other narcotic
drugs without causing the "high" associated with the drug addiction. Answer -
Methadone
-Opioid partial agonist
- Weaker than methodone/heroin
- Decreases effects of withdrawal, cravings
- Lower potential for misuse
- Can taper over time Answer - Buprenorphine
Combination of buprenorphine and naloxone.
- Sublingual film
- 8mg/2mg
