Chris grew up in a home where

Chris grew up in a home where he either spent a lot of time alone or with a babysitter. He began drinking at age 15 by sneaking liquor from his parents’ bar. He has continuously drank alcohol since this time. By the time he completed his senior year in college, he was regularly drinking 5 or 6 beers within an hour during Friday night partying with his friends. On some occasions, he would also take fentanyl in addition to drinking. When he got his first job at age 22, he regularly went to happy hour during the week with his coworkers. His female coworkers would often marvel at how he and their male coworkers could do 2-3 shots of liquor and not even feel tipsy, while the women were intoxicated after the same amount. This didn’t surprise Chris because since he first started drinking as a teen, the same amount of alcohol no longer had the same intoxicating effect on him. A few months after starting his job, his boss started complaining about Chris calling out sick and taking longer to complete his work. Chris’s actions were due to him having to recover from hangovers. Chris normally drinks heavily and drives home, but one night he got pulled over by the police. Because of his BAC reading he received a DUI. He had to pay a hefty fine, was placed on probation, and mandated to attend treatment. During his mandated treatment, his therapist, Mr. Lee, gave him tokens for submitting clean urine samples and after he received ten tokens he could exchange them for a gift card. His therapist also performed guided imagery with him where he had Chris imagine drinking and finding maggots and rat feces floating in his drink. Prior to being discharged from the program, his therapist referred him to a psychiatrist who gave him a prescription for disulfiram (Antabuse). After finishing his mandated treatment, Chris found a new therapist, Ms. Walker, so that he could continue treatment. His new therapist felt that his drinking problems developed due to unmet dependency needs during his early childhood. 1 (1 point) Which of the following is true about Chris’s drinking behavior? 1 options: He drinks regularly, and he has an alcohol use disorder. He drinks regularly, but he does not have an alcohol use disorder because he doesn’t always feel intoxicated He drinks regularly, but does not have an alcohol use disorder because it does not interfere with his role functioning. He drinks regularly, but he does not have enough symptoms to diagnose him with an alcohol use disorder. 2 (1 point) Which class of drugs is reflected in the case? 2 options: stimulants cannabis hallucinogens depressants 3 (1 point) Which behavior is most reflective of tolerance. 3 options: Driving under the influence Drinking five drinks within two hours Having a hangover after partying on the weekend Drinking the same amount of alcohol no longer had the same effect on him as it did when he was younger 4 (1 point) What type of intervention strategy did Mr. Lee use when he gave Chris tokens he could exchange for a gift card after submitting clean urine samples? 4 options: detoxification contingency management aversion therapy acceptance and commitment therapy 5 (1 point) What type of intervention did Mr. Lee use when he had Chris imagine drinking alcohol that had maggots and rat feces floating in it? 5 options: detoxification contingency-management ACT aversion therapy 6 (1 point) Based on the information in the case, what theoretical orientation does Mr. Lee follow? 6 options: psychodynamic cognitive-behavioral humanistic biological 7 (1 point) Men in Chris’s racial/ethnic group, have the highest rates of his condition compared to other racial/ethnic groups. Based on this information, what can you infer about Chris? 7 options: He is White. He is Asian-American. Native American He is African-American. 8 (1 point) The terminology used to describe Chris’s college drinking behavior is _____. 8 options: light drinking normal drinking alcoholic drinking binge drinking 9 (1 point) The most likely reason that Chris’s female coworkers get more intoxicated than he or most of his male coworkers is _____. 9 options: women have greater tolerance women binge drink less women have less of the enzyme alcohol dehydrogenase women regulate their alcohol intake better 10 (1 point) Which is the most likely biological reason for why alcohol helped Chris relax? 10 options: alcohol binds to GABA receptors which have an excitatory effect when received at certain neurons alcohol stimulates the central nervous system alcohol binds to GABA receptors which have an inhibitory effect when received at certain neurons alcohol does not bind to any receptors in the body 11 (1 point) If Chris drinks heavily while taking the disulfiram, which of the following might he experience? 11 options: increased sense of relaxation a decrease in withdrawal symptoms nausea and vomiting no effect 12 (1 point) The second therapist, Ms. Walker, most likely uses the _____ model to guide her treatment. 12 options: cognitive-behavioral psychodynamic biological sociocultural 13 (1 point) The type of treatment Ms. Walker is likely to use tends to ____. 13 options: not be as effective as other therapies when used alone be very effective when used alone not be used very often be uncommon 14 (1 point) Trying to guide Chris to work through his underlying needs and conflicts using free association is a technique that would most likely be used by _____. 14 options: The second therapist (Ms. Walker) The psychiatrist primary care physicians who lead AA groups The first therapist (Mr. Lee) 15 (1 point) When Chris was pulled over by the police, his BAC must have minimally been ____ for him to be charged with a DUI. 15 options: .06 .01 .09 .07 16 (1 point) Chris should avoid drinking and using fentanyl because the drugs have _____ actions and creates an effect that can lead to extreme intoxication, coma or even death. 16 options: antagonistic no opposite similar 17 (1 point) The term used to describe what happens when two drugs of either similar or antagonistic actions are taken at the same time is called _____ effects. 17 options: synergistic opposing polysubstance intoxication 18 (1 point) The fentanyl that Chris took is _____. 18 options: an opioid a sedative-hypnotic a type of alcohol a cannabis product SCIENCE HEALTH SCIENCE NURSING PSYC 3350

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