Exam 14: Substance Use and Addictive Disorders

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As a school psychologist in a large public high school you have been asked to help design a substance use prevention program for 9th graders. Identify the key components of a universal prevention program as well as how to identify and work with high-risk adolescents.

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-Universal prevention program
-Promotion of healthy lifestyle and healthy choices
-Harm reduction - responsible use of alcohol
-Use social institution (i.e., school) to change what may be social norms
-Collaborative efforts between agencies (school, medical community, mental health community, etc.)
-Targeted prevention program
-Identify high-risk students based on risk factors (age, gender, familial factors, peer group, ethnicity, neighborhood, presence of psychopathology, etc.)
-Provide supports in natural settings (i.e., schools) where positive peer pressure and modeling can be implemented
-Begin early and include families

A thorough medical examination should be conducted before, after, and during withdrawal from a substance because of:

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B

Molly smoked marijuana once because her friends encouraged her to give it a try but hasn't tried it again. This is an example of experimental substance use.

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True

Gambling is an example of a/n ________ behavior while riding on the hood of a friend's car as the result of a dare may be considered a/n _________behavior.

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Describe two psychological disorders commonly co-diagnosed with alcohol abuse in adolescents.

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Compare and contrast risk-taking and impulsive behaviors. Give examples of each.

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Greg started smoking when he was 17 years old and now at 40 finds that he can't get through a day without a cigarette without feeling shaky. Greg is most likely _________ to cigarettes.

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An adolescent whose father who is an alcoholic and a gambler is more at risk of developing a/n _________.

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John enjoys skiing black diamond and rock climbing, while his brother Jack enjoys driving his car well over the speed limit and experimenting with different types of drugs. Both boys are engaging in _________ behaviors, but John's activities would not be considered ________.

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Summarize the data on the genetic of alcohol abuse.

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Describe the role of social and cultural factors in the development, maintenance, and treatment of substance use and addictive disorders.

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A 15-year-old freshman has been referred to the school psychologist by her father. The concerns include poor grades, withdrawal from her family, increased moodiness, and conflicts with peers. Briefly describe how the school psychologist might assess the possibility of substance use and how it may have impacted this adolescent.

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When Tanika first injected herself with heroin, she experienced a rush of euphoria. This was likely related to an increase in which neurotransmitter?

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The authors of this text would most likely agree that brain development in children and adolescents follows a pattern of development that is similar to a:

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Statistics support the fact that the majority of adolescents have had their first drink by age 14.

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The progression from drug user to drug addict is well understood and predictable.

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Dr. Swanson tells her psychology students that the likelihood to use drugs is based on two factors: the opportunity to use drugs and actually using drugs when given the opportunity. She is most likely lecturing on the ________ model.

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Cynthia has just smoked marijuana and is finding it hard to walk straight. This effect is due to the impact of marijuana on the _________ in Cynthia's brain.

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Dr. Vance is lecturing on substance use in adolescents and proposes that nicotine use in young adolescents leads to marijuana use. He is most likely describing the:

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Dr. Stephens tells her psychology students that adolescents who are at risk for developing a substance use disorder are also more at risk for developing a conduct disorder. This assertion is based on the concept of problem behavior syndrome.

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