Please answer al this multiple choice questions about Understanding the Needs of Persons with Co-Occurring Disorders

February 21, 2023February 21, 2023 Discipline: Health & Medical
Learning Goal: I’m working on a health & medical question and need an explanation and answer to help me learn.

1.

 People with severe mental health disorders have ___________ for a substance use disorders as people with less severe a mental health disorders

A.

the same risk

B.

an increased risk

C.

a lower risk

D.

about the same minimal risk

2.

 Which of the following mental health disorders have the highest rate of co-occurring substance use disorder?

A.

Bipolar disorder

B.

Schizophrenia

C.

Major depression

D.

Phobia

3.

 The expression “an expectation not an exception” applied to co-occurring disorders means.

A.

co-occurring disorders are always present

B.

co-occurring disorders are common

C.

co-occurring disorders are exceptional

D.

co-occurring disorders are uncommon

4.

 What does Minkoff say people with co-occurring disorders need?

A.

empathy, hope, continuity, and integrated treatment

B.

assessment, treatment, medication, and confrontation

C.

empathy, confrontation, hope, and continuity

D.

assessment, integrated treatment, medication, and hope

5.

 Why are the rates of co-occurring disorders often higher in acute care settings?

A.

people with co-occurring disorders require structure

B.

people with co-occurring disorders prefer acute care

C.

two disorders are worse than one

D.

either disorder may precipitate an acute episode

6.

 Which of the following is not a relationship between substance use and mental health disorders?

A.

Substance use may make symptoms of a mental health disorder worse.

B.

Substance use may precipitate a mental health disorder.

C.

Substance use directly causes schizophrenia and bipolar disorders.

D.

Substance use causes symptoms that mimic a mental health disorder.

7.

 The concept of self-medication seeks to explain why

A.

more people use alcohol than cocaine

B.

some people seem to use substances to cope with mental health symptoms

C.

most people select substances based on their mental health symptoms

D.

substances can create mental health symptoms

8.

 Are some people with mental health problems more sensitive to substances?

A.

No. Anyone is equally susceptible to the effects of substances

B.

Yes, individuals with schizophrenia are more susceptible to small amounts of substances.

C.

Yes, alcoholics are sensitive to small amounts of alcohol.

D.

No, some people never get drunk.

9.

 Improving social skills:

A.

decreases substance use in individuals with schizophrenia but not substance use disorders

B.

decreases substance use in individuals with schizophrenia and substance use disorders.

C.

decreases substance use in individuals with substance use disorders but not schizophrenia

D.

leads to improved social skills but this does not affect substance use.

10.

 Which of the following statement does not well describe the relationship between violence, mental health, and substance use disorders?

A.

People with mental health disorders are often victims of violence.

B.

Most women in substance abuse treatment are victims of violence.

C.

People with mental health disorders are often violent.

D.

Substance use is related to domestic violence.

11.

 A conceptual difference between substance abuse and substance dependence is

A.

the degree of harmful use

B.

the degrees of tolerance

C.

substance dependence is loss of control of use, substance abuse is a pattern of poor choices about use

D.

physical dependence

12.

 A decreased need for sleep, inflated self-esteem, and increased talkativeness are symptoms of

A.

depression

B.

schizophrenia

C.

alcohol withdrawal

D.

manic episode

13.

 Negative symptoms i.e. flattened affect, lack of spontaneous speech, and lack of goal-directed behavior are symptoms of

A.

depression

B.

schizophrenia

C.

alcohol withdrawal

D.

manic episode

14.

 Among individuals in substance abuse treatment co-occurring posttraumatic stress disorder (PTSD) is

A.

equally common among men and women

B.

more common among women

C.

more common in men

D.

less common in women

15.

 Select the best statement about the need to determine which disorder came first.

A.

Integrated treatment requires a clinician to determine which disorder came first.

B.

If the substance use disorder came first then medications should not be prescribed.

C.

It is important to determine if the person is self-medicating. If they are the individual will stop using when his or her mental health symptoms go away.

D.

Once a person has both disorders, then both need treatment. It is not necessary to determine which came first.

16.

 A significant barrier to treatment for co-occurring disorders is

A.

different beliefs in the two fields about the chronicity of the disorders

B.

different beliefs in the two fields about how the disorders affect families

C.

different beliefs in the two fields about the genetic influences on the development of the disorders

D.

separate licensing, funding streams, and legislative rules

17.

 If a case manager at the mental heath center determines that a newly referred individual has a co-occurring substance use disorder, he or she should first.

A.

refer the individual to an abstinence oriented program

B.

seek to engage individual in a relationship

C.

seek to get the individual to commit to treatment

D.

refer the individual to AA or NA

18.

 Assertiveness when working with individuals with co-occurring disorders means that staff should

A.

insist on abstinence

B.

confront the person about use

C.

closely monitor the person’s access to money for drugs

D.

provide outreach and practical assistance to engage the person

19.

 When an individual is in the persuasion stage of treatment, staff’s task is to

A.

get the person to regular meet with the staff member

B.

discuss the pros and cons of use

C.

support the person staying abstinent

D.

identify threats to staying sober

20.

 Which of the following statements reflects a stage model of change?

A.

individuals move through different stages of change before they sustain change

B.

staff have little influence over people, motivation is their issue

C.

people must experience the very negative consequences of use before they will change

D.

the change process begins only when the person decides the problem needs changing

21.

 Integrated treatment for co-occurring is best defined as

A.

providing treatment for the secondary disorder after the primary disorder has been treated

B.

providing treatment for both disorders at the same time by the same staff

C.

proving treatment for both disorders at the same time by different staff

D.

blending evidence-based practices for both disorders in the same agency

22.

 An individual is experiencing withdrawal symptoms from stimulants, he or she may experience:

A.

hallucinations

B.

fatigue

C.

nausea, diarrhea

D.

delusions

23.

 Which substance is most frequently abused by people with co-occurring disorders.

A.

cocaine

B.

marijuana

C.

amphetamines

D.

alcohol

24.

 Which of the following are risk factors for both severe mental health disorders and substance dependence disorders?

A.

social skill deficits, high income, violence, childhood abuse

B.

poverty, violence, childhood abuse, social isolation

C.

connection to family, genetic factors, violence, poverty

D.

adult role responsibilities, childhood abuse, poverty

25.

 People with severe mental health disorders mostly say they use substances

A.

to deal with specific mental health symptoms

B.

to deal with hallucinations

C.

for the same reasons that people without a mental health use them

D.

to deal with the side effects of medications

26.

 What statement best reflects current best practices for medication management for those with co-occurring disorders?

A.

It is too risky to prescribe medications to someone who is abusing substances.

B.

Individuals should be told not to take medications if they are using substances.

C.

People should only be given injectable medications so that they will not abuse them.

D.

Medications must be an integral part of treatment for individuals with co-occurring disorders.

27.

 Which substance of abuse influences a person’s mood?

A.

stimulants

B.

depressants

C.

both A and B

D.

neither A or B

28.

 How does stigma about mental health and substance use disorders affect persons with co-occurring disorders?

A.

they may blame themselves and use denial and minimization to deal with both disorders

B.

they may blame staff for the disorders

C.

they may blame their families for the disorders

D.

they may feel guilty and readily admit to many mistakes

29.

 About what percentage of people with a drug use disorder also have a mental health disorder.

A.

25%

B.

75%

C.

50%

D.

33%

30.

 What does the high prevalence rate of co-occurring disorders mean for staff working in mental health and substance abuse programs.

A.

It means that separate co-occurring programs need to be developed deal with all the individuals who have co-occurring disorders.

B.

It means the both mental health and substance abuse treatment staff need basic cross training in both types of disorders.

C.

It means that staff must do a better job of screening out people with co-occurring disorders because programs are not equipped to deal with them.

D.

It means that all programs should be equipped to fully provide treatment for individuals with co-occurring disorders.

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