BHP Substance Abuse & Addiction 1 — Questions and Answers
Question 1: What is the DSM-5 term used to describe problematic substance use that causes significant impairment or distress?
- Substance abuse disorder
- Substance use disorder (Correct answer)
- Chemical dependency
- Addictive disorder
Correct answer: Substance use disorder
The DSM-5 replaced the older terms 'substance abuse' and 'substance dependence' with the single unified diagnosis of substance use disorder.
Question 2: Which of the following is a primary characteristic of physical dependence on a substance?
- Engaging in risky behaviors to obtain the substance
- Experiencing tolerance and withdrawal symptoms (Correct answer)
- Neglecting social obligations due to substance use
- Using the substance in larger amounts than intended
Correct answer: Experiencing tolerance and withdrawal symptoms
Physical dependence is characterized by tolerance (needing more of the substance to achieve the same effect) and withdrawal symptoms when use is reduced or stopped.
Question 3: The motivational interviewing technique OARS stands for:
- Observe, Assess, Reflect, Summarize
- Open questions, Affirm, Reflect, Summarize (Correct answer)
- Outline, Ask, Review, Support
- Open questions, Analyze, Respond, Support
Correct answer: Open questions, Affirm, Reflect, Summarize
OARS in motivational interviewing stands for Open questions, Affirm, Reflect, and Summarize — core skills used to evoke motivation for change.
Question 4: Which stage of the Transtheoretical Model (Stages of Change) is characterized by a person acknowledging a problem but not yet being committed to taking action?
- Precontemplation
- Contemplation (Correct answer)
- Preparation
- Action
Correct answer: Contemplation
In the contemplation stage, individuals are aware of the problem and are seriously considering change but have not yet committed to a specific plan.
Question 5: Naloxone (Narcan) is used to reverse overdose from which class of substances?
- Benzodiazepines
- Stimulants
- Opioids (Correct answer)
- Alcohol
Correct answer: Opioids
Naloxone is an opioid antagonist that rapidly reverses opioid overdose by binding to opioid receptors and blocking the effects of opioids.
Question 6: Which of the following best describes 'dual diagnosis' in behavioral health?
- A client diagnosed with two different substance use disorders
- A client with both a mental health disorder and a substance use disorder (Correct answer)
- A client receiving diagnoses from two different clinicians
- A client diagnosed with both a physical and mental health condition
Correct answer: A client with both a mental health disorder and a substance use disorder
Dual diagnosis (also called co-occurring disorders) refers to the simultaneous presence of both a substance use disorder and a mental health disorder in the same individual.
Question 7: What is the primary goal of harm reduction approaches in substance use treatment?
- Complete abstinence from all substances
- Reducing the negative consequences of substance use without requiring abstinence (Correct answer)
- Substituting one substance for a less harmful one permanently
- Encouraging clients to avoid all social situations involving substances
Correct answer: Reducing the negative consequences of substance use without requiring abstinence
Harm reduction focuses on minimizing the negative health, social, and economic consequences of substance use rather than requiring complete abstinence as a prerequisite for treatment.
BHP Substance Abuse & Addiction 1
What is the DSM-5 term used to describe problematic substance use that causes significant impairment or distress?