1. What happens in very early childhood may set the stage for whether or not children are physically, emotionally, socially, and cognitively healthy throughout their lives, yet coordinated efforts to identify problems and promote wellness generally don't start in these critical years.
2. Project Launch is a collaborative effort by the Substance Abuse and Mental Health Services Administration (SAMHSA), the Centers for Disease Control and Prevention, Administration for Children and Families, and Health Resources and Services Administration that offers new hope for promoting the health and well-being of children ages _______________.
A. 2 to 12 years
B. 1 to 6 years
C. 18 months to 10 years
D. Birth to 8 years
3. In Washington County, Maine, issues such as unemployment, poverty, and rampant misuse of prescription opiates have greatly impacted the lives of young children, as demonstrated by which factor?
A. About half of the county's infants are born at risk because of exposure to substances, low birth weight, or other factors
B. The county has the state's highest percentage of infants in child protective custody and children in special education
C. A disproportionate number of children have been diagnosed with autism and ADHD prior to age 4
D. All of the above
4. Data from different regions shows that in San Diego, Ca. both males and females reported alcohol as their primary substance of abuse, while in Baltimore methamphetamine was the primary substance of abuse.
5. According the SAMHSA's A Day in the Life of American Adolescents: Substance Use Facts Update, which of the following is NOT a true statement about adolescents' substance use on a typical day in America in 2008?
A. More than 1 million teens age 12 to 17 smoked cigarettes, more than half a million drank alcohol, and approximately 563,000 used marijuana
B. 7,540 adolescents drank alcohol for the first time, more than 3,800 smoked cigarettes for the first time, and more than 4,300 used an illicit drug for the first time on an average day
C. There were 378 emergency department visits for adolescents age 14 to 17 that involved the use of illegal drugs, alcohol, or the misuse or abuse of pharmaceuticals
D. Substance use treatment for adolescents included 76,484 in outpatient treatment, 9,219 clients in non-hospital residential treatment, and 762 who were receiving hospital inpatient treatment.
6. World-renowned pediatrician and author T. Berry Brazelton, M.D. developed the groundbreaking Neonatal Behavioral Assessment Scale (NBAS), which is now used worldwide to recognize the physical and neurological responses of newborns, as well as:
A. Awareness of environment and stimuli
B. Alertness and affect
C. Sequence of motor development
D. Emotional well-being and individual differences
7. Research indicates that young American Indians and Alaska Natives have the highest suicide rate of any cultural or ethnic group in the United States.
8. In order to be effective with this at-risk population, it is critical to understand the complex process of developing suicide prevention plans within a cultural context.
9. Although illegal tobacco sales to youth have increased over the past 13 years, 2009 saw the first downward tick in sales to minors.
10. Adolescents age 12 to 17 may face risk factors at home that contribute to smoking, as indicated by data that showed that smoking among adolescents living with their mothers was ____ percent for those whose mothers neither smoked in the past month nor had a past-year major depressive episode (MDE) and ____ percent for adolescents exposed to both maternal MDE and maternal smoking.
A. 6.3; 28.5
B. 5.6; 25.3
C. 4.2; 22.6
D. 3.8; 19.7
11. SAMHSA' s Knowledge Application Program (KAP) offers a succinct and practical guide for physicians and mental health professionals to access guidance for the use of acamprosate, disulfiram, oral naltrexone, and extended-released injectable naltrexone in the treatment of:
A. Opioid dependence
B. Methamphetamine and cocaine abuse
C. Benzodiazepines and polydrug abuse
D. Alcohol use disorders
12. One of the goals of President Obama's Patient Protection and Affordable Care Act (ACA) is to provide services in an effective and modern mental health and substance use system through various workforce initiatives, including education and training grants, loan repayment programs, and primary care residency training.
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