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N766 Chapters 38-41

According to the Minority Stress Theory, protective factors include
Parental attachment
Good physical health
College enrollment
A supportive partner
Early SM self-identification
According to the Minority Stress Theory, protective factors include
Parental attachment
Good physical health
College enrollment
A supportive partner
Early SM self-identification
"Coming out" is a one time event.
True
False
HIV and Hepatitis C are highest in which groups (Select all that apply)
Black & Latin men who have sex with men
GM women
Cisgender women
Heterosexual men
Men who have sex with men
Key Clinical Considerations in SUD Treatment with SGM Patients include...
Psychopharmacological
Psychosocial
Education
Comorbidities
Experiences
Being born in the United States is a protective factor against substance use disorder?
True
False
The prevalence rate of alcohol use in East Asians is higher than average?
True
False
The CFI contains ____ questions.
20 questions
5 questions
16 questions
10 questions
Gambling is illegal outside of the Unites States?
True
False
The DSM and ICD are generalizable to all cultures?
True
False
Alcohol is the most frequently used substance in older populations.
True
False
Match the definitions.
Cisgender
Gender identity and sex assigned at birth align
Gender identity
Internal sense of being a man, woman, another gender, or no gender
Sexual minority (SM)
Distress associated with gender identity
Transgender
Gender identity differs from sex assigned at birth
Gender dysphoria
Gender identity outside female/male binary
Non-binary
Refers to people who identify as non-heterosexual
Which medications are most effective and safe to use in the older adult population with AUD?
Naltrexone and Acamprosate
Naltrexone and Gabapentin
Naltrexone and Topiramate
Acamprosate and Gabapentin
Serotonergic antidepressants are often a more appropriate choice than benzodiazepines for treatment of anxiety in this population because of their efficacy for many types of anxiety.
True
False
Risk factors Risk factors for cocaine use that have been identified in the older population include
Male sex
Female sex
Retirement
Chronic pain
Loneliness
Age
Education
What is the leading cause of premature death among older adults?
Opioids
Alcohol
Nicotine
Stimulants
What risk factors are associated with opioid use disorders?
Comorbid psychiatric disorders
Chronic pain
Depression in the prior year
Alaskan Native ancestry
American Indian ancestry
Personal or family history of substance use disorder
Which of the following statements is FALSE?
In combination with opioid use disorder, patients with chronic pain disorders may experience decreased reward and relieve when using opioids.
In combination with opioid use disorder, patients with chronic pain disorders and anxiety disorders may have a multiplied effect of reward and relief.
Chronic pain is no longer considered "protective" against opioid use disorder.
In combination with opioid use disorder, patients with comorbid anxiety disorders may experience an incrased reward and relief when using opioids.
Which of the following statements is TRUE
Bupreonorphine and methadone for opioid use disorder are only available through opioid treatment programs.
Methadone is typically dosed less frequently when given for pain control than when given for opioid use disorder.
Opioid use disorder patients taking buprenorphine or methadone are at higher risk of being undertreated for acute and/or postoperative pain.
The risk of drug interactions and QT prolongation is higher with buprenorphine than with methadone.
What intervention is NOT appropriate for a patient with chronic pain requiring treatment with opioids?
Use of a screening tool to assess risk such as the Revised Screener and Opioid Assessment for Patients with Pain.
Evaluate the patient's functioning, quality of life, mood, and addiction risk factors.
Use the lowest dose and shortest-acting forumlatioin.
Chronic pain should never be treated with opioids.
Minority Stress Theory is best described as what?
The experience of a unique type of stress that sexual and gender minority individuals may experience in response to discrimination, internalized stigma, and societal prejudice that adds to the general stress everyone experiences.
The positive correlation between mental health problems and the internalization of heterosexism, or the societal privilege of heterosexuality, in SGM individuals.
The improvement in mental health outcomes in SGM individuals when the parental/family relationships are maintained.
The idea that stress can increase drug use especially in SGM individuals.
Which of the following statements is FALSE?
Cannabis use is equal among SGM and non-SGM individuals.
Crystal meth use in sexual minority men and gender minority women is associated with higher HIV infection risk.
More research is needed to further explore the racial and ethnic differences in substance use among SGM population.
It is unclear due to a lack of data how the SGM population specifically has been affected by the opioid epidemic.
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