11th Edition Harold E. Doweiko
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,Ch1: Why Worry About Substance Misuse or Substance Use Disorders (SUDs)?
1. According to your text, use of which of the following substances has remained fairly constant in society, despite
widespread knowledge of their dangers and the various types of tolls these drugs can bring?
a. Alcohol and tobacco
b. Marijuana and LSD
c. Cocaine and heroin
d. Anabolic steroids and inhalants
ANSWER: a
POINTS: 1
REFERENCES: Introduction
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.01 - Understand why substance misuse and SUDs are
legitimate problems for society.
NATIONAL STANDARDS: United States - CSHSE.2a - Ethical and culturally relevant strategies for
conducting, interpreting, and reporting the results of research and/or program
evaluation
United States - CACREP.1A - Career Development – Theories and models of
career development, counseling, and decision making
2. The direct and indirect cost of substance use disorders totals what percentage of the average state’s budget?
a. 5%
b. 10%
c. 15%
d. 20%
ANSWER: c
POINTS: 1
REFERENCES: SUDs as Unsuspected Influences on Society
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.01 - Understand why substance misuse and SUDs are
legitimate problems for society.
NATIONAL STANDARDS: United States - CSHSE.1g - Ethical and culturally relevant strategies for
conducting, interpreting, and reporting the results of research and/or program
evaluation
United States - CACREP.2H - Social and Cultural Diversity – Strategies for
identifying and eliminating barriers, prejudices, and processes of intentional and
unintentional oppression and discrimination
3. Which of the following is an example of how the impact of SUDs is contributing to the rising cost of healthcare?
a. Approximately 20–25% of patients seen by primary care physicians have SUDs.
b. Substance misuse and SUDs can cause or exacerbate more than 70 health conditions.
c. Approximately one million hospital emergency room visits are the result of illicit drug use.
d. All of these answers are correct.
ANSWER: d
POINTS: 1
REFERENCES: SUDs as Unsuspected Influences on Society
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,QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.03 - Understand the costs related to alcohol and drug misuse
and SUDs.
NATIONAL STANDARDS: United States - CACREP.8i - Analysis and use of data in counseling
United States - CSHSE.4c - Compiling, synthesizing, and categorizing information
4. Adults with substance use disorders are more likely to have been physically abused and neglected as children than their
peers without substance use disorders.
a. True
b. False
ANSWER: True
POINTS: 1
REFERENCES: SUDs as Unsuspected Influences on Society
QUESTION TYPE: True / False
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.01 - Understand why substance misuse and SUDs are
legitimate problems for society.
NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive
behaviors
United States - CSHSE.2a - Theories of human development
5. According to Leamon et al. (2008), at least what percentage of the world’s population has used at least one
psychoactive substance at some point in their lives?
a. 5%
b. 25%
c. 50%
d. 75%
ANSWER: c
POINTS: 1
REFERENCES: The Scope of the Problem of the SUDs
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.02 - Identify the scope of the problem of alcohol and drug
misuse and SUDs.
NATIONAL STANDARDS: United States - CACREP.3b - Theories of learning
United States - CSHSE.4i - Utilizing research findings and other information for
community education and public relations
6. According to a 2015 study, what percentage of the population will meet the criteria for physical addiction at some point
in their lives?
a. 2 %
b. 5 %
c. 10 %
d. 14 %
ANSWER: c
POINTS: 1
REFERENCES: The Scope of the Problem of the SUDs
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,QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.02 - Identify the scope of the problem of alcohol and drug
misuse and SUDs.
NATIONAL STANDARDS: United States - CACREP.8A - Research and program evaluation – The importance
of research in advancing the counseling profession, including how to critique
research to inform counseling practice
United States - CSHSE.4i - Utilizing research findings and other information for
community education and public relations
7. Besides alcohol and tobacco, which of the following is the most commonly used drug in the world?
a. Methamphetamine
b. Marijuana
c. Cocaine
d. Opioids
ANSWER: b
POINTS: 1
REFERENCES: The Scope of the Problem of the SUDs
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.02 - Identify the scope of the problem of alcohol and drug
misuse and SUDs.
NATIONAL STANDARDS: United States - CACREP.8i - Analysis and use of data in counseling
United States - CSHSE.4c - Compiling, synthesizing, and categorizing information
8. Women are more likely to develop an alcohol abuse disorder than men.
a. True
b. False
ANSWER: False
POINTS: 1
REFERENCES: The Scope of the Problem of the SUDs
QUESTION TYPE: True / False
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.02 - Identify the scope of the problem of alcohol and drug
misuse and SUDs.
NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive
behaviors
United States - CSHSE.2a - Theories of human development
9. At which rank are the drug use disorders positioned as the leading cause of death in adults around the world?
a. third
b. fourth
c. sixth
d. eighth
ANSWER: c
POINTS: 1
REFERENCES: The Cost of Chemical Misuse and SUDs
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,QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.03 - Understand the costs related to alcohol and drug misuse
and SUDs.
NATIONAL STANDARDS: United States - CACREP.8i - Analysis and use of data in counseling
United States - CSHSE.4c - Compiling, synthesizing, and categorizing information
10. Each day in the United States, approximately how many people will try an illicit drug for the first time?
a. 2,000
b. 4,000
c. 8,000
d. 10,000
ANSWER: c
POINTS: 1
REFERENCES: The Scope of the Problem of the SUDs
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.02 - Identify the scope of the problem of alcohol and drug
misuse and SUDs.
NATIONAL STANDARDS: United States - CACREP.8i - Analysis and use of data in counseling
United States - CSHSE.4c - Compiling, synthesizing, and categorizing information
11. As a hospital administrator, what percentage of hospital admissions would be related to alcohol use/misuse?
a. 5–10%
b. 15–20%
c. 25–30%
d. 35–40%
ANSWER: d
POINTS: 1
REFERENCES: SUDs as Unsuspected Influences on Society
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.2401.04 - Describe those who encounter and treat individuals with
SUDs.
NATIONAL STANDARDS: United States - CACREP.8i - Analysis and use of data in counseling
United States - CSHSE.4c - Compiling, synthesizing, and categorizing information
12. What percentage of psychiatric hospital admissions are not associated with drug or alcohol abuse?
a. 8–10%
b. 15–20%
c. 25–30%
d. 25–50%
ANSWER: d
POINTS: 1
REFERENCES: SUDs as Unsuspected Influences on Society
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
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,LEARNING OBJECTIVES: DOWE.COCD.24.01.04 - Describe those who encounter and treat individuals with
SUDs.
NATIONAL STANDARDS: United States - CACREP.8i - Analysis and use of data in counseling
United States - CSHSE.4c - Compiling, synthesizing, and categorizing information
13. Estimates suggest that alcohol use disorders cost the world economy how much each year?
a. $264 billion
b. $375 billion
c. $600 billion
d. $880 billion
ANSWER: d
POINTS: 1
REFERENCES: The Cost of Chemical Misuse and SUDs
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.03 - Understand the costs related to alcohol and drug misuse
and SUDs.
NATIONAL STANDARDS: United States - CACREP.8A - Research and program evaluation – The importance
of research in advancing the counseling profession, including how to critique
research to inform counseling practice
United States - CSHSE.3f - International and global influences on services delivery
14. The annual estimated global economic impact of illicit drug use is thought to be how much?
a. $98 million
b. $250 billion
c. $880 billion
d. $950 billion
ANSWER: c
POINTS: 1
REFERENCES: The Cost of Chemical Misuse and SUDs
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.03 - Understand the costs related to alcohol and drug misuse
and SUDs.
NATIONAL STANDARDS: United States - CACREP.8i - Analysis and use of data in counseling
United States - CSHSE.2h - Processes to analyze, interpret, and effect policies
and laws at local, state, and national levels that influence services delivery
systems
15. Most physicians are under-trained in recognizing and treating substance misuse.
a. True
b. False
ANSWER: True
POINTS: 1
REFERENCES: Who Treats Persons with an SUD?
QUESTION TYPE: True / False
HAS VARIABLES: False
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,LEARNING OBJECTIVES: DOWE.COCD.24.01.04 - Describe those who encounter and treat individuals with
SUDs.
NATIONAL STANDARDS: United States - CACREP.4e - Strategies for assessing abilities, interests, values,
personality and other factors that contribute to career development
United States - CSHSE.8g - Reflection on professional self (e.g., journaling,
development of a portfolio, or project demonstrating competency)
16. Around the world, heroin is trafficked in how many countries?
a. Approximately 15
b. Between 30 and 35
c. Approximately 55
d. At least 99
ANSWER: d
POINTS: 1
REFERENCES: The Scope of the Problem of the SUDs
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.02 - Identify the scope of the problem of alcohol and drug
misuse and SUDs.
NATIONAL STANDARDS: United States - CACREP.8A - Research and program evaluation – The importance
of research in advancing the counseling profession, including how to critique
research to inform counseling practice
United States - CSHSE.4c - Compiling, synthesizing, and categorizing information
17. For most individuals, experimentation with the illicit use of drugs lasts how long?
a. It occurs only once.
b. It initiates a slow, but inevitable, advance into addiction.
c. It runs a course of use that usually lasts 5–10 years.
d. It lasts for less than a year.
ANSWER: d
POINTS: 1
REFERENCES: The Scope of the Problem of the SUDs
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.02 - Identify the scope of the problem of alcohol and drug
misuse and SUDs.
NATIONAL STANDARDS: United States - CACREP.3D - Theories and etiology of addictions and addictive
behaviors
United States - CSHSE.2a - Theories of human development
18. Despite having more contact with patients with substance use disorders than doctors do, what professionals still lack
adequate training on caring for patients with SUDs in their education programs?
a. Physician assistants
b. Nurses
c. Pharmacy techs
d. Dental hygienists
ANSWER: b
POINTS: 1
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,REFERENCES: Who Treats Persons with an SUD?
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES:DOWE.COCD.24.01.05 - Comprehend the lack of education prevalent in those
who encounter individuals with SUDs.
NATIONAL STANDARDS: United States - CACREP.4c - Processes for identifying and using career,
avocational, educational, occupational and labor market information resources,
technology, and information systems
United States - CSHSE.8g - Reflection on professional self (e.g., journaling,
development of a portfolio, or project demonstrating competency)
19. In recent years, the number of people around the world who use cocaine has __________.
a. doubled
b. gone down
c. tripled
d. stayed stable
ANSWER: d
POINTS: 1
REFERENCES: The Scope of the Problem of the SUDs
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.02 - Identify the scope of the problem of alcohol and drug
misuse and SUDs.
NATIONAL STANDARDS: United States - CACREP.8i - Analysis and use of data in counseling
United States - CSHSE.4c - Compiling, synthesizing, and categorizing information
20. What percentage of the population of the United States currently uses tobacco?
a. 10%
b. 20%
c. 30%
d. 40%
ANSWER: b
POINTS: 1
REFERENCES: The Scope of the Problem of the SUDs
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.02 - Identify the scope of the problem of alcohol and drug
misuse and SUDs.
NATIONAL STANDARDS: United States - CACREP.8i - Analysis and use of data in counseling
United States - CSHSE.4c - Compiling, synthesizing, and categorizing information
21. Globally, how many deaths annually are the result of tobacco use?
a. 1 million
b. 3 million
c. 5 million
d. 8 million
ANSWER: d
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, POINTS: 1
REFERENCES: The Cost of Chemical Misuse and SUDs
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES:DOWE.COCD.24.01.03 - Understand the costs related to alcohol and drug misuse
and SUDs.
NATIONAL STANDARDS: United States - CACREP.8i - Analysis and use of data in counseling
United States - CSHSE.4c - Compiling, synthesizing, and categorizing information
22. Alcohol is thought to contribute to approximately what percentage of all motor vehicle accidents?
a. 30%
b. 40%
c. 50%
d. 60%
ANSWER: b
POINTS: 1
REFERENCES: The Cost of Chemical Misuse and SUDs
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.03 - Understand the costs related to alcohol and drug misuse
and SUDs.
NATIONAL STANDARDS: United States - CACREP.8i - Analysis and use of data in counseling
United States - CSHSE.4c - Compiling, synthesizing, and categorizing information
23. Annually, one in how many of all deaths in the United States can be directly traced to smoking-related illnesses?
a. two
b. three
c. five
d. ten
ANSWER: c
POINTS: 1
REFERENCES: The Cost of Chemical Misuse and SUDs
QUESTION TYPE: Multiple Choice
HAS VARIABLES: False
LEARNING OBJECTIVES: DOWE.COCD.24.01.03 - Understand the costs related to alcohol and drug misuse
and SUDs.
NATIONAL STANDARDS: United States - CACREP.8i - Analysis and use of data in counseling
United States - CSHSE.4c - Compiling, synthesizing, and categorizing information
24. Two decades ago, 74% of psychologists surveyed reported what regarding their training in the identification or
treatment of addictions?
a. No formal training
b. Confidence in their minimal training
c. Adequate training
d. Extensive training
ANSWER: a
POINTS: 1
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