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Substance Misuse Prevention for Young Adults

Chapter 1: Preventing Substance Misuse Among Young Adults

1. A fellow health care professional has questions regarding substance misuse among young adults. Which of the following informational points of interest should be communicated to the health care professional?

A. Cocaine is the most common substance misused by young adults.

B. Marijuana is one of the most common substances misused by young adults.

C. Family conflict is not a risk factor for substance misuse.

D. Academic failure is only a risk factor for substance misuse among individuals over the age of 18.


2. Which of the following statements is most accurate?

A. According to the text, past-month cigarette use among young adults has been increasing since 2002.

B. According to the text, past-month cigarette use among young adults has been declining since 2002.

C. According to the text, marijuana use among young adults has steadily decreased since 2002.

D. According to the text, daily marijuana use among non- college young adults has steadily decreased in recent years.


3. Which of the following statements is most accurate?

A. Children with ADHD are not at risk for developing a SUD.

B. Young adults who are sexual minorities are at a lower risk for various behavioral health issues, including substance misuse.

C. Substance use among young adults experiencing homelessness is lower than that of peers who are not homeless.

D. College students who belong to fraternities and sororities have higher rates of substance use than their college peers who do not join such organizations.


4. Which of the following is among the most commonly cited reasons for using e-cigarettes among both adolescents and young adults?

A. An aid to quit conventional cigarettes

B. An aid to quit marijuana use

C. An aid to quit alcohol use

D. Low perceived harm compared to other tobacco products


5. A young adult patient has questions regarding substance misuse. Which of the following educational points should be expressed to the patient?

A. The human brain stops developing when an individual reaches the age of 18.

B. Substance misuse can permanently change brain areas.

C. Substance misuse does not often affect IQ.

D. Substance misuse does not often affect motivation.


Chapter 2: Effectiveness of Substance Misuse Prevention Among Young Adults

6. Which of the following statements regarding prevention programs is most accurate?

A. Universal programs and practices target biological, psychological, or social risk factors that are more prominent among high-risk groups than among the wider population.

B. Selective programs and practices take the broadest approach and are designed to reach all individuals.

C. Indicated programs and practices target individuals who do not show signs of being at risk for a SUD.

D. Indicated programs and practices target individuals who show signs of being at risk for a SUD.


7. A patient has questions regarding behavior management. Which of the following educational points should be expressed to the patient?

A. Behavior management encourages individuals to change problem or harmful behaviors by providing rewards in exchange for good behavior.

B. Behavior management encourages individuals to effectively address problem behaviors through persuasion and teaching the individual how to behave in a pro-social way.

C. Behavior management programs may only be useful for individuals over the age of 16.

D. Behavior management may only be useful for individuals over the age of 18.


8. Which of the following statements regarding classroom management practices is most accurate?

A. Classroom management practices are only implemented in college settings.

B. Classroom management practices are typically implemented in college settings and focus primarily on alcohol consumption.

C. Classroom management practices typically include systems that emphasize student expectations for behavior and learning.

D. Classroom management practices typically include systems that focus on the consumption of alcohol after the age of 18.


9. Which of the following statements regarding wraparound services is most accurate?

A. Wraparound services are typically used for adults and older adults.

B. Wraparound services provide responses to young adults who face serious mental health or behavioral challenges.

C. Wraparound services do not focus on mental health issues.

D. Wraparound services typically focus on employment issues for individuals between the ages of 18 - 25.


Chapter 3: Evidence-Based Programs for Preventing Substance Misuse Among Young Adults 

10. Which of the following substances is the primary target of Adults in the Making?

A. Cocaine

B. Heroine

C. Opioids

D. Alcohol


11. Alcohol excise taxes are a type of regulatory policy designed to reduce easy access to alcohol.

A. True

B. False


12. What is the target population of the Communities Mobilizing for Change on Alcohol?

A. Youth ages 8 - 10

B. Youth ages 10 - 14

C. Youth ages 15 - 20

D. Youth ages 20 - 22


13. What substances are targeted by Family Check-Up?

A. Alcohol, tobacco, and marijuana

B. Alcohol, tobacco, and cocaine

C. Tobacco, cocaine, and opioids

D. Cocaine and opioids


14. Which of the following risk factors is addressed by Safer California Universities?

A. College attendance

B. Social access to alcohol at on-campus parties across the country.

C. Retail sales of alcohol to individuals over the age of 21

D. Enforcement of drinking and driving laws across the country.


15. What substance is targeted by Team Awareness?

A. Alcohol

B. Tobacco

C. Marijuana

D. Opioids


Chapter 4: Guidance for Selecting and Implementing Evidence-Based Practices and Programs

16. A team of health care professionals is tasked with developing an evidence-based prevention program. Which of the following solutions may be used by the team to address any assessment challenges that may arise?

A. Engage older adults in the planning process.

B. Engage local law enforcement in the planning process.

C. Identify retail sources of alcohol in the community and surrounding areas.

D. Identify available sources of data on young adult substance misuse in the community.


17. A fellow health care professional has questions regarding the assessment step in developing an evidence-based prevention program. Which of the following informational points of interest should be communicated to the health care professional?

A. It is important to establish criteria for analyzing assessment data to determine which problem(s) to prioritize.

B. Often data collected through the assessment process does not reveal areas of need that contribute to substance misuse among young adults.

C. Assessment findings should not be shared.

D. Community members should not be allowed to provide feedback on assessment results.


18. A team of health care professionals tasked with developing an evidence-based prevention program decides to use a logic model to increase the effectiveness of the implementation step. Which of the following statements regarding logic models is most accurate?

A. Logic models only analyze outputs.

B. Logic model outcomes only include long-term or distal outcomes.

C. Logic model activities cannot be tracked.

D. Logic model inputs typically represent the various resources available to support the program.


19. A team of health care professionals tasked with developing an evidence-based prevention program has questions regarding cultural competence. Which of the following informational points of interest should be communicated to the team of health care professionals?

A. Cultural competence is not typically a principle of evidence-based prevention programs.

B. Sub-populations vulnerable to behavioral health disparities should not be identified.

C. Health care professionals should only use logic models that focus on short-term goals.

D. Follow-up interviews with program participants should be conducted to better understand program evaluation findings.


20. Sustainability in prevention is the capacity of an organization to produce and maintain positive prevention programs and associated outcomes after the initial implementation.

A. True

B. False


Chapter 5: Resources for Evaluation and Quality Improvement/Appendix 

21. Which of the following statements is most accurate?

A. Stakeholders should be engaged in the development of a program's logic model.

B. Stakeholders should not be engaged in the development of a program's logic model.

C. Stakeholders should only be engaged in the development of a program's logic model if the program is designed for individuals over the age of 18.

D. Stakeholders should only be engaged in the development of a program's logic model if the program is designed for individuals under the age of 18.


22. The Brief Motivational Intervention + Alcohol Expectancy Challenge program is indicated for young adults aged 16 -18.

A. True

B. False


23. What is the target population for the Keep Safe program?

A. Youth aged 5 to 9

B. Youth aged 10 to 17

C. Youth aged 18 to 20

D. Youth aged 21 to 24


24. A fellow health care professional has questions regarding Blood Alcohol Concentration (BAC) Limits for Minors laws. Which of the following informational points of interest should be communicated to the health care professional?

A. BAC Limits for Minors laws are not universal.

B. BAC Limits for Minors laws are universal for youth and young adults aged 15 - 24.

C. BAC Limits for Minors laws resulted in the following outcome: increases in binge drinking among 18 - 24 year old males.

D. BAC Limits for Minors laws resulted in the following outcome: reductions in drinking and drivingamong college students.


25. Which of the following statements is most accurate?

A. Increased alcohol taxes have led to increases in harmful youth drinking.

B. Increased alcohol taxes have led to increases in harmful youth and older adult drinking.

C. Increased alcohol taxes have lead to reductions in sexually transmitted infections and diseases among youth and young adults.

D. Increased alcohol taxes have lead to reductions in HIV and other sexually transmitted infections/diseases among older adults living in rural areas.


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