Community Public Health Nursing 7th Edition Nies Test Bank
Test Bank Substance Abuse Nies: Community/Public Health Nursing, 7th
Edition Chapter 27
Your text here 1
MULTIPLE
CHOICE
1. Which preventable health problem is the cause of more deaths, illnesses, and
disabilities than any other?
a. Use of tobacco
b. Obesity
c. Sexually transmitted diseases (STDs)
d. Substance abuse
ANS: D
Perhaps no other health-related condition has as many far-reaching
consequences in contemporary Western society as substance abuse. These
consequences include a wide range of social, psychological, physical,
economic, and political problems. Drug abuse and addiction have negative
consequences for individuals, families, and communities. Estimates of the total
overall costs of substance abuse in the United States, including productivity
and health- and crime-related costs exceed $700 billion annually. This includes
approximately
$193 billion for illicit drugs, $295 billion for tobacco, and $224 billion for
alcohol. These numbers in dollars do not describe the extent of public health
and safety implications.
DIF: Cognitive Level: Remember (Knowledge)
2. A female student was extremely upset over her test results. She thought she had
studied
thoroughly, but her test grade
N R would
I G be B.Ctotally
M unacceptable to her parents. Her
friend said, “Come on, it’s just the first couUrseStestN
. YoTu’ll doObetter on the next
one. Let’s go out and have
a drink. You’ll feel much better.” After the first drink, how will the upset
student most likely feel?
a. A bit nauseous
b. More relaxed and comfortable
c. Ready to have a second
d. Very thirsty
ANS: B
If one expects a certain effect, such as relief, one is more likely to feel it after
use of a drug. The satisfied expectancies may set up neural pathways that are
interpreted as pleasurable. It is unlikely that the student will feel nauseous or
very thirsty after the first drink. The student may feel ready to have a second,
but that would be related to the relaxation and comfort experienced with the
first drink.
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, Community Public Health Nursing 7th Edition Nies Test Bank
DIF: Cognitive Level: Apply (Application)
3. Which mood-altering substances are considered acceptable to use by current
Western society?
a. Alcohol
b. Amphetamines
c. Barbiturates
d. Nicotine
ANS: A
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, Community Public Health Nursing 7th Edition Nies Test Bank
In general, alcohol use has gained more social acceptance than other drug use.
Because of the known harmful effects of tobacco, it is not acceptable to use
tobacco products, which contain nicotine. The use of amphetamines and
barbiturates are not acceptable in Western society.
DIF: Cognitive Level: Remember (Knowledge)
4. Which best explains why most states have the legal drinking age set at 21 years
old?
a. At 21 years of age, most Americans consider a person an adult.
b. College is completed, and employment has begun by 21 years of age.
c. Most 21-year-olds are self-supporting and no longer dependent on parents.
d. The alcohol-related death rate rose alarmingly when drinking age
was lowered to 18 years.
ANS: D
Alcohol use was highest during the 1980s, when states lowered the drinking age
to 18 years of age. Lawmakers became alarmed at the increased rate of drinking
and the increased number of alcohol-related deaths among 18- to 25-year-olds
after lowering the drinking age and therefore reversed the decision. During the
late 1980s, alcohol use declined after the minimum drinking age was reinstated
to 21 years of age. Thus, the significance of the legal drinking age of 21 has to
do with the problems experienced when the legal drinking age was lowered to
18, not that 21-year-olds are considered to be “adults”, employed, or self-
supporting by this age.
DIF: Cognitive Level: Understand (Comprehension)
5. Which best explains what experts believe is the causative factor in the decline
in total alcohol consumption?
a. Americans prefer less dangerous mood-altering substances
b. Increased “sin” taxes N
on R I SG
alcUoho B.C
l anN M nOationwide
d toTbacco
c. Less social tolerance and no-drinking-while-driving campaigns
d. So many movies about teenaged drinking make alcohol look adolescent
ANS: C
The decline in alcohol consumption through the 1990s and into the 21st
century is attributed to less tolerant national attitudes toward drinking,
increased societal and legal pressure and action against drinking and driving,
and increased health concerns among Americans. The decline does not have to
do with Americans choosing other mood-altering substances, increased
taxation, or the media.
DIF: Cognitive Level: Understand (Comprehension)
6. Which legislation has increased funding for treatment and rehabilitation for
substance abuse?
a. Drug Abuse Prevention and Control Act
b. Anti-Drug Abuse Acts of 1986 and 1988
NURSINGTB.COM
Test Bank Substance Abuse Nies: Community/Public Health Nursing, 7th
Edition Chapter 27
Your text here 1
MULTIPLE
CHOICE
1. Which preventable health problem is the cause of more deaths, illnesses, and
disabilities than any other?
a. Use of tobacco
b. Obesity
c. Sexually transmitted diseases (STDs)
d. Substance abuse
ANS: D
Perhaps no other health-related condition has as many far-reaching
consequences in contemporary Western society as substance abuse. These
consequences include a wide range of social, psychological, physical,
economic, and political problems. Drug abuse and addiction have negative
consequences for individuals, families, and communities. Estimates of the total
overall costs of substance abuse in the United States, including productivity
and health- and crime-related costs exceed $700 billion annually. This includes
approximately
$193 billion for illicit drugs, $295 billion for tobacco, and $224 billion for
alcohol. These numbers in dollars do not describe the extent of public health
and safety implications.
DIF: Cognitive Level: Remember (Knowledge)
2. A female student was extremely upset over her test results. She thought she had
studied
thoroughly, but her test grade
N R would
I G be B.Ctotally
M unacceptable to her parents. Her
friend said, “Come on, it’s just the first couUrseStestN
. YoTu’ll doObetter on the next
one. Let’s go out and have
a drink. You’ll feel much better.” After the first drink, how will the upset
student most likely feel?
a. A bit nauseous
b. More relaxed and comfortable
c. Ready to have a second
d. Very thirsty
ANS: B
If one expects a certain effect, such as relief, one is more likely to feel it after
use of a drug. The satisfied expectancies may set up neural pathways that are
interpreted as pleasurable. It is unlikely that the student will feel nauseous or
very thirsty after the first drink. The student may feel ready to have a second,
but that would be related to the relaxation and comfort experienced with the
first drink.
NURSINGTB.COM
, Community Public Health Nursing 7th Edition Nies Test Bank
DIF: Cognitive Level: Apply (Application)
3. Which mood-altering substances are considered acceptable to use by current
Western society?
a. Alcohol
b. Amphetamines
c. Barbiturates
d. Nicotine
ANS: A
NURSINGTB.COM
, Community Public Health Nursing 7th Edition Nies Test Bank
In general, alcohol use has gained more social acceptance than other drug use.
Because of the known harmful effects of tobacco, it is not acceptable to use
tobacco products, which contain nicotine. The use of amphetamines and
barbiturates are not acceptable in Western society.
DIF: Cognitive Level: Remember (Knowledge)
4. Which best explains why most states have the legal drinking age set at 21 years
old?
a. At 21 years of age, most Americans consider a person an adult.
b. College is completed, and employment has begun by 21 years of age.
c. Most 21-year-olds are self-supporting and no longer dependent on parents.
d. The alcohol-related death rate rose alarmingly when drinking age
was lowered to 18 years.
ANS: D
Alcohol use was highest during the 1980s, when states lowered the drinking age
to 18 years of age. Lawmakers became alarmed at the increased rate of drinking
and the increased number of alcohol-related deaths among 18- to 25-year-olds
after lowering the drinking age and therefore reversed the decision. During the
late 1980s, alcohol use declined after the minimum drinking age was reinstated
to 21 years of age. Thus, the significance of the legal drinking age of 21 has to
do with the problems experienced when the legal drinking age was lowered to
18, not that 21-year-olds are considered to be “adults”, employed, or self-
supporting by this age.
DIF: Cognitive Level: Understand (Comprehension)
5. Which best explains what experts believe is the causative factor in the decline
in total alcohol consumption?
a. Americans prefer less dangerous mood-altering substances
b. Increased “sin” taxes N
on R I SG
alcUoho B.C
l anN M nOationwide
d toTbacco
c. Less social tolerance and no-drinking-while-driving campaigns
d. So many movies about teenaged drinking make alcohol look adolescent
ANS: C
The decline in alcohol consumption through the 1990s and into the 21st
century is attributed to less tolerant national attitudes toward drinking,
increased societal and legal pressure and action against drinking and driving,
and increased health concerns among Americans. The decline does not have to
do with Americans choosing other mood-altering substances, increased
taxation, or the media.
DIF: Cognitive Level: Understand (Comprehension)
6. Which legislation has increased funding for treatment and rehabilitation for
substance abuse?
a. Drug Abuse Prevention and Control Act
b. Anti-Drug Abuse Acts of 1986 and 1988
NURSINGTB.COM
