Substance Abuse Among Older Adults:
An Invisible Epidemic
1)Alcohol and prescription drug misuse affects up to _____ of older adults.
a)7%
b)17%
c)27%
d)37%
2)The term “ageism” was coined in the mid _____ to describe the tendency of society to assign negative stereotypes to older adults.
a)1960s
b)1970s
c)1980s
d)1990s
3)Clinicians are less likely to detect alcohol problems in
a)Women
b)The educated
c)Those with higher socioeconomic status
d)All the above
4)Over _____ of home care patients are women.
a)60%
b)70%
c)80%
d)90%
Chapter 2
5)Which is not one of the age-related changes which significantly affects the way an older person responds to alcohol?
a)Decrease in body water
b)Increased sensitivity and decreased tolerance to alcohol
c)Decreased bone density
d)Decrease in the metabolism of alcohol in the gastrointestinal tract
6)The consumption of alcohol can trigger or exacerbate additional serious problems among older adults, including all the following EXCEPT
a)Increased risk of hemorrhagic stroke
b)Impaired immune system
c)Increased bone density
d)Malnutrition
7)Which is not a common sleep pattern as people age?
a)Decreased REM length
b)Decreased stage III and IV sleep
c)Increased awakenings
d)Decreased episodes of sleep with rapid eye movement
8)Some studies, largely conducted on male samples, show that low levels of alcohol consumption reduce the risks of
a)Coronary heart disease
b)Depression
c)Cirrhosis
d)Gastrointestinal bleeding
9)Occasional moderate drinking at social gatherings and then driving home is an example of _____ drinking.
a)Playing-chicken
b)Socially acceptable
c)Age related
d)At-risk
10) A standard drink of wine is
a)3 oz.
b)5 oz.
c)8 oz.
d)12 oz.
11) Which type of drinkers comprises the majority of older patients receiving treatment for alcohol abuse?
a)Pre-onset drinkers
b)Early onset drinkers
c)Mid onset drinkers
d)Late onset drinkers
12) The literature suggests that about _____ of older adults with drinking problems are late onset abusers.
a)1/4
b)1/3
c)1/2
d)2/3
13) Which is NOT a clinical characteristic of early onset problem drinkers?
a)Higher proportion of men than women
b)Socioeconomic status tends to be higher
c)Family history of alcoholism is more prevalent
d)Alcohol-related chronic illness is more common
14) A binge is usually defined as any drinking occasion in which an individual consumes _____ or more standard drinks.
a)3
b)5
c)7
d)9
15) Which is the major preventable cause of premature death in the United States?
a)Smoking
b)Drinking
c)Prescription drug abuse
d)Bacon
Chapter 3
16) Since their introduction in the late 1950s, _____ have become the most widely prescribed anxiolytics and hypnotics in medical practice.
a)Barbiturates
b)Benzodiazepines
c)Beta blockers
d)Over-the-counter pharmaceutical drugs
17) Which is NOT one of the most consistently documented correlates of psychoactive prescription drug use?
a)Old age
b)Poor physical health
c)Female Gender
d)Low socioeconomic status
18) The effects of morphine experience a/an _____ effect of aging.
a)Decreased
b)Increased
c)Unchanged
d)Variable
19) The rebound effects experienced in benzodiazepine withdrawal usually mimic the original symptoms for which the benzodiazepine was prescribed.
a)True
b)False
20) Sleep disturbances are a common complaint among older adults, occurring in approximately _____ of those in long-term care facilities.
a)1/3
b)1/2
c)2/3
d)3/4
21) The symptomatic treatment of insomnia with medications should be limited to
a)7 to 10 days
b)21 to 28 days
c)1 to 2 months
d)2 to 3 months
22) Which is NOT a problem associated with opioid prescriptions for older patients?
a)Rapid development of tolerance
b)Rapid development of physiological dependence
c)Duration of action is longer
d)Opioid dose requirements increase with age
23) Age does not appear to increase the sedative effects of which opioid?
a)Talwin
b)Darvon
c)Lortab
d)Demerol
24) Which adverse effect occurs when caffeine is combined with alcohol?
a)Increased central nervous system depression
b)Masked signs of delirium tremens
c)Possible further decreased reaction time
d)Increased liver toxicity
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