Mindful Continuing Education

Appraising the Behavioral Health of College Students

Overview and Discussion

1. The authors report that substance misuse and mental health issues among college students may be exacerbated by individual characters and experiences, such as each of the following EXCEPT:

A. Family dysfunction B. Weak interpersonal attachments C. Excessive desire for advancement D. Low tolerance for frustration

Social Influences

2. Young people, including college students, are buffeted by broader forces in popular culture, such as advertisements and portrayals of substance use in entertainment, and these messages often glamorize or encourage substance use, treat it as normal and integral to social and other situations, and do not accurately depict its adverse consequences.

A. True B. False

Alcohol Use, Misuse, and Underage Drinking-Expectations and Beliefs

3. Among college males, the prime motives for drinking include getting drunk, getting along on dates, feeling good, and forgetting disappointments.

A. True B. False

The Culture of College Drinking

4. The culture or tradition of college drinking that is entrenched in the students’ environment includes which of the following:

A. Customs handed down through generations of college drinkers reinforce students’ expectation that alcohol is a necessary ingredient for social success B. College sports arenas carry advertisements from alcohol industry sponsors, alumni carry on the alcohol tradition at events and functions, and communities permit establishments near campus to serve or sell alcohol C. This culture actively or passively promotes drinking, through tolerance or even tacit approval, of college drinking as a rite of passage D. All of the above

A Focus on Individuals

5. Skill building and motivational interviewing techniques that have shown promise in addressing excessive drinking among college students include teaching students about the risks of drinking, and showing students how to monitor their drinking, set limits, reduce the risks of drinking too much, and:

A. Develop self-responsibility for drinking behavior B. Plan ahead to lessen consequences C. Handle high-risk situations that include drinking D. None of the above

Transitional Stress

6. In college settings, the combination of underage and of-age students complicates prevention and enforcement efforts, and in addition to setting a standard for drinking, older students of legal drinking age often actively provide alcohol to their underage peers.

A. True B. False

Preventing Underage Drinking at Colleges and Universities

7. A strategy that has shown promise for helping students reduce alcohol misuse and the negative consequences of their drinking is the Brief Alcohol Screening and Intervention for College Students (BASICS), which focuses on:

A. Motivational techniques B. Cognitive behavioral approaches C. Stress-management and coping skills D. Education and awareness

Alcohol Access, Availability, and Norms

8. Class schedules that allow students to sleep late or to have long weekends facilitate alcohol-heavy socializing, and in turn, high-risk drinking negatively affects class attendance, time spent studying, and academic performance.

A. True B. False

Targeting Students at High Risk for Alcohol Use-Other High-Risk Students

9. One individualized strategy to assist students at high risk for alcohol use is to examine and refute their beliefs by using an emotional-analytical approach.

A. True B. False

Illicit Drug Use Among College Students-Prevalence and Patterns of Use

10. Which of the following is NOT an accurate statement about marijuana use among college students?

A. As in the general population, marijuana is the most commonly used illicit drug among college students B. College marijuana use is associated with party-going and socializing as well as with less time studying C. Students who use marijuana may regard religion and community service as unimportant D. One study found out that marijuana tends to be a substitute for excessive alcohol use and binge drinking

Misuse of Medications

11. Research has shown that students who like novel experiences and/or place themselves in high-risk situations, who are known as “sensation seekers,” are more likely to use prescription drugs nonmedically no matter how harmful they may have perceived the drugs to be.

A. True B. False

12. A study of college women linked nonmedical use of prescription drugs with other forms of substance use and with having experienced:

A. An anxiety disorder B. Suicidal ideations C. Major depression D. Eating disorders

Bringing Prevention to Your Campus

13. Prevention approaches related to illicit drug use and nonmedical use of medications may include development and enforcement of clear school policies, coordination with the surrounding community; adjustment of social norms through campaigns and other means, and drug education emphasizing mental health promotion, counseling, and:

A. Conflict resolution B. Screening and assessment C. Self-regulation D. Well-being

Tobacco Use Among College Students

14. Waterpipe (hookah) tobacco smoking, which has become increasingly common among college students who tend to see it as less harmful than cigarette use, may actually be as dangerous or more so than cigarettes.

A. True B. False

15. A major factor in students’ willingness to smoke and their disinclination to take it seriously is:

A. Social context B. Familial exposures and patterns C. Level of impulse control D. Personal norms and values

Mental Health Issues-Scope of the Problem

16. According to a 2016 American College Health Association survey, 23 percent of students reported feeling so depressed within the last 12 months that it was difficult to function, and 14 percent felt overwhelming anxiety.

A. True B. False

Substance Misuse Connection

17. Drug misuse and mental health counselors confirm that students who seek mental health treatment often report symptoms of substance misuse, while college students who use alcohol or other drugs often display signs of depression or anxiety.

A. True B. False

18. The authors report that the increased demand for mental health services among college students may be attributed to each of the following EXCEPT:

A. More students already diagnosed with mental health disorders are going to college B. Diverse students, including those of color, international students, lesbian, gay, bisexual, and transgender students, and other minority groups may face cultural tensions and discrimination C. Students are often faced with grim job prospects after graduation D. Older students may experience financial pressure and the stress of interrupted careers and life transitions

Access Issues

19. Students who are new to the college are more likely to use services than those with more years of college experience.

A. True B. False

20. College students from certain cultural or ethnic backgrounds may be hesitant to seek behavioral health services because of negative family and peer norms about mental health and mental health seeking.

A. True B. False

Meeting Demand

21. Structural approaches to meet increased demand for mental health services should include putting counseling, academic support, and mental health services under the same organizational umbrella, developing a comprehensive health and well-being plan focused on mental health issues, and:

A. Providing leadership and administrative support that is committed to the mental health and overall wellness of students B. Allocating funding sources for developing and sustaining behavioral health initiatives C. Coordinating programs, policies, and services that address crisis management and suicide prevention D. Establishing a central office or official in a campus life entity to organize and track campus statistics

Penn Resilience Training for College Students

22. Penn Resilience Training for College Students, a prevention program for university freshmen who are at risk for mood disorders, promotes skill building by using positive affirmations, providing advice and feedback, and encouraging students to practice normalizing behaviors.

A. True B. False

Suicide

23. According to a report from the SAMHSA-supported Suicide Prevention Resource Center (SPRC), graduate students have the highest rates of suicide among students in undergraduate and graduate programs, and men in graduate school are at greatest risk.

A. True B. False

Facts

24. Increased academic distress among college students, which is directly related to increased severity of suicide-related thoughts and behaviors, is measured by academic-related factors such as level of enjoyment of classes, level of motivation, ability to concentrate, and level of:

A. Academic confidence B. Academic resiliency C. Academic discipline D. All of the above

The Amethyst Initiative

25. While the Amethyst Initiative contends that the minimum legal drinking age of 21 has not worked and encourages clandestine drinking among college students, research demonstrates that the current age 21 drinking laws have saved many lives by reducing alcohol-related crashes and associated injuries and fatalities, and the minimum age for initiation of a behavior must consider the dangers and benefits of that behavior at a given age.

A. True B. False

Adderall, Ritalin, and Dexadrine

26. Misuse of Adderall, Ritalin and Dexadrine tends to be most common among non-white college students, student-athletes, and students who have a history of behavior problems.

A. True B. False

Prevention Strategies

27. Which of the following is NOT one of the areas where campus efforts to prevent and reduce substance misuse are largely focused?

A. Environmental measures to restrict availability and access and to shape social norms on use and acceptability B. Promotion of mental health and a healthy, caring campus climate C. Identification of at-risk students in order to encourage connectedness D. Screening and counseling services

Preventing Nonmedical Use of Prescription/OTC Medications

28. Strategies to deter nonmedical use of prescription/OTC medications include educating youth and adults about medications, and encouraging consumers to dispose of unused medications they no longer need in an environmentally safe manner.

A. True B. False


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