Title: Health Management
Course: Question Banks

Q: Fernando noticed he’s gained some weight and feels more sluggish since he started college. He realizes now that late night partying and eating out most of the time are catching up with his health. What could he do to start eating healthier?
- Only eat his two favorite foods -- pizza and tacos -- but in moderation. (Incorrect. While eating what one likes and doing so in moderation isn’t a bad idea, people typically need variety in their diet and should eat more nutrient dense foods from the different food groups.)
- Start a diet that severely reduces his carb intake so he can lose weight. (Incorrect. While it may be tempting to start a fad or extreme diet for quick weight loss, in the long run, it may not be sustainable or healthy for us. Fernando would do best by varying his diet with nutrient dense foods from the different food groups; eating within calorie limits as appropriate for his age, height, sex, weight, and physical activity level; and limiting intake of saturated fats, added sugars, sodium and alcoholic beverages.)
- Make sure to fast after periods of overeating to get his eating habits back into balance. (Incorrect. Quick fixes such as this won’t help in the long term towards a habit of healthier eating. Fernando just needs to make sure he is eating the right amount of nutrient dense foods, within calorie limits that are appropriate for him, from the various food groups.)
- Focus on eating healthier foods in a variety of food groups and not eating or drinking excessively with food and beverages that are low in nutrients. (Correct! Fernando just needs to make sure he’s eating a variety of nutrient-dense foods within the different food groups; eating within calorie limits for his age, height, sex, weight, and physical activity level; and limiting intake of saturated fats, added sugars, sodium and alcoholic beverages.*)
A: Focus on eating healthier foods in a variety of food groups and not eating or drinking excessively with food and beverages that are low in nutrients.

Q: Ari, an international student, is reading about the latest dietary guidelines for Americans in their nutrition class. What recommendation are they most likely to find?
- Follow healthy eating habits once you reach late adulthood. (Incorrect. While it is important to follow healthy eating habits in late adulthood, that is not the only time we should do so. The Dietary Guidelines for Americans for 2020-2025 recommend we follow a healthy dietary pattern at all life stages.)
- Ignore calorie limits and eat what you like the most. (Incorrect. We should eat the foods we like -- however, the Dietary Guidelines for Americans for 2020-2025 recommend staying within calorie limits while enjoying nutrient dense food from a variety of food groups.)
- Don’t limit yourself with any type of food or beverage if you are exercising a lot. (Incorrect. While we do burn more calories when we exercise -- and may be able to consume more calories -- the Dietary Guidelines for Americans for 2020-2025 recommend we limit foods and beverages higher in added sugars, saturated fat, and sodium, as well as alcoholic beverages.)
- Choose nutrient-dense food and beverages to reflect personal preferences, cultural traditions, and budget. (Correct! The Dietary Guidelines for Americans for 2020-2025 recommend people customize and enjoy foods and beverages based on personal likes, cultural practices, and budgetary considerations.)
A: Choose nutrient-dense food and beverages to reflect personal preferences, cultural traditions, and budget.

Q: Sam has been having health problems and his doctor recently recommended he improve his diet and see a nutritionist. If the nutritionist is following USDA healthy eating guidelines, which of these guidelines would they most likely suggest for Sam?
- Avoid grains as much as possible. (Incorrect. While some people may need to avoid certain types of grains if they have medical conditions, such as Celiac disease (which is caused by a reaction to gluten), there are a variety of grains (i.e. oatmeal, popcorn, whole-grain bread, and brown rice) that people should consume as part of a healthy diet.)
- Limit protein to only one source. (Incorrect. The USDA recommends mixing up protein intake to include a variety such as seafood, beans and peas, unsalted nuts and seeds, soy products, eggs, and lean meats and poultry.)
- Increase saturated fats, sodium, and sugar when tired. (Incorrect. The USDA recommends we reduce foods and beverages with saturated fats, sodium, and added sugars to stay healthy.)
- Eat a variety of whole fruits and vegetables, making sure they take up half of his plate. (Correct! The USDA guidelines recommend eating a variety of color vegetables prepared in many ways and to focus on whole fruit in our diets.)
A: Eat a variety of whole fruits and vegetables, making sure they take up half of his plate.

Q: Monique is a first-year college student adjusting to life in the dorms on her campus. She watches her peers eating all hours of the day and night and she wants to make sure she doesn’t overdo it with snacking. What would be the best advice to give her for making healthy food choices as a college student?
- Monique should eat in-between meals and late at night to keep herself energized throughout the day. (Incorrect. Snacking in-between meals and late at night isn’t going to help Monique adopt a healthy mindset with food, so she should avoid doing this when possible. Getting a good night’s sleep will help her to feel more energized throughout the day.)
- Monique should eat more when feeling stressed or when she’s studying. (Incorrect. Monique should avoid overeating when stressed, studying, or engaging in other activities that distract us, such as watching TV or playing video games.)
- Monique should drink caffeinated sodas at night to keep her awake to study. (Incorrect. Monique should avoid sugary, caffeinated beverages and replace them with water or lower calorie milk or milk substitutes.)
- Monique should keep healthy snacks such as whole fruit and vegetables available in her dorm room. (Correct! To avoid reaching for unhealthy snacks like chips and cookies, Monique should stock healthier options like fruits and veggies she enjoys in her room.)
A: Monique should keep healthy snacks such as whole fruit and vegetables available in her dorm room.

Q: Gabby is a community college student and mother of two young children receiving several forms of financial aid to help pay for school. Since she works during the day, she is a commuter student who takes all of her classes in the evening. Based on her demographics, what could be the biggest challenge for her in making healthy food choices?
- eating in the cafeteria for all of her meals (Incorrect. Since Gabby is a commuter student taking courses in the evening, she is not likely to be eating all of her meals in the cafeteria. For those who live on campus though, eating in the cafeteria or having access to all-you-can-eat dining facilities could be a challenge to healthy eating.)
- having too much extra time to prepare her meals (Incorrect. Gabby works during the day and takes classes at night, so it’s unlikely that she has too much time on her hands to make her own meals. If anything, she may not have enough time to make healthier meals.)
- exercise routine interfering with food prep time (Incorrect. While it’s possible that exercise may be taking up some of her time, it’s more likely that Gabby’s work, school, and parenting responsibilities would impede food prep time.)
- dealing with food insecurity (Correct! Since Gabby is a community college student receiving several forms of financial aid and a student parent, she is at more risk of being food insecure. Others who are at higher risk of food insecurity include students of color, those with housing problems, and financially independent students.)
A: dealing with food insecurity

Q: Angel is a 32-year-old community college student who lost her job during the pandemic and feels overwhelmed with the financial burden of college and is having difficulty finding adequate housing. In addition to this, she is struggling to eat well and never knows when or where she’ll get her next meal. She checked with her advisor and was surprised to find ________ on campus that could help meet some of her nutritional needs for free.
- Meals on Wheels (Incorrect. While Meals on Wheels is a free option for people to get food, this is typically reserved for senior citizens and is delivered to their homes or other community gathering spaces.)
- a cafeteria (Incorrect. Cafeterias on college campuses typically don’t offer food at no-cost to students.)
- a food truck (Incorrect. Food trucks tend to be for-profit businesses that usually don’t offer food for free.)
- a food pantry (Correct! Nowadays, more and more college campuses have food pantries or other stigma-free food access options for students who are struggling with food insecurity.)
A: a food pantry

Q: Xavier played a lot of sports in high school and wants to continue to stay fit while he’s in college. If he maintains his physical fitness, what is most likely going to happen for him?
- Xavier will exhaust himself from exercising and not be able to finish his homework. (Incorrect. Actually, the opposite will happen. If he maintains his physical fitness, he should have no problem completing his daily activities.)
- Xavier’s stamina will eventually decrease and his blood pressure will increase. (Incorrect. Exercising regularly will help to increase his strength and lower blood pressure.)
- Xavier will develop heart problems if he does too much aerobic exercise. (Incorrect. Staying physically fit through aerobic exercise will improve his heart health.)
- Xavier will have enough energy to keep up with his school work and other responsibilities without getting too tired. (Correct! If he maintains his energy levels through exercise, it will allow him to engage in daily physical activity without becoming fatigued.)
A: Xavier will have enough energy to keep up with his school work and other responsibilities without getting too tired.

Q: Barry wants to join the football team and was encouraged to build up his muscles and bone strength in training. What type of exercise would be best for him to increase his muscle mass?
- a low-impact aerobics class (Incorrect. While aerobic exercise is important for increasing heart rate and working muscles, it’s not the best way to increase muscle mass.)
- daily yoga (Incorrect. Regular yoga is helpful for stretching and reducing risk of injury with other activities, but it’s not the best way to increase muscle mass.)
- walking 10,000 steps a day (Incorrect. Walking long distances regularly is helpful with one’s overall activity and ability to burn calories, but it’s not the best way to increase muscle mass.)
- lifting weights at the school gym (Correct! Strength training, such as lifting weights a few times a week, can help build strong bones and muscles.)
A: lifting weights at the school gym

Q: Sadi has spent a lot of time indoors during the pandemic and feels lethargic from the inactivity. She wants to maintain a healthy weight and increase her cardiovascular activity. What would be a good way for her to begin to achieve her current fitness goals?
- lifting heavy weights at the gym (Incorrect. While lifting weights is great for strength training and increasing muscle mass, there is a more focused way to improve cardiovascular health.)
- stretching in the mornings (Incorrect. Stretching is great for flexibility and starting an exercise routine, but something more is needed for cardiovascular health and maintaining a healthy weight.)
- eat a healthy breakfast (Incorrect. While eating a healthy meal in the morning is important for health, it doesn’t increase one’s cardiovascular activity.)
- dancing to her favorite music several days a week (Correct! Aerobic activity, such as dancing, is a great way to maintain one’s weight and improve heart health.)
A: dancing to her favorite music several days a week

Q: Sally has a history of health problems and wants to get in better shape. She’s in her early 60s and her doctor has encouraged her to exercise. Sally plans to start walking on a regular basis to get started. What impact could this have on Sally’s health?
- Walking will have no impact on Sally’s physical health. (Incorrect. Walking can have a positive impact on one’s health in the long run.)
- Walking will decrease her body’s immune system. (Incorrect. Walking will help Sally to improve her health, not decrease her immune system.)
- Walking could reduce Sally’s life expectancy. (Incorrect. Walking can have a positive impact on Sally’s life expectancy.)
- Walking could help prolong Sally’s life. (Correct! Studies show that it’s never too late to start exercising and even walking can help prolong one’s life.)
A: Walking could help prolong Sally’s life.

Q: Dr. Rodriguez is a general practitioner who specializes in treating those with diabetes. What would be some specific health advice she might give to her patients?
- Avoid too much exercise. Research indicates cardio workouts can negatively impact those with diabetes. (Incorrect. Exercise can have great health benefits for those with diabetes.)
- It’s your decision whether or not you want to exercise. It has little impact on those with diabetes. (Incorrect. Exercise can have significant health benefits for people with diabetes.)
- Only focus on your diet for now. It’s too late to start an exercise problem if you already have diabetes. (Incorrect. It’s never too late for anyone to start an exercise program and it can benefit those who have any form of diabetes.)
- Join an aerobics class! Studies show it has great benefits for those with type 1 and type 2 diabetes! (Correct! Aerobic exercise can have significant and particular benefits for people with both type 1 and type 2 diabetes; it increases sensitivity to insulin, lowers blood pressure, improves cholesterol levels, and decreases body fat.)
A: Join an aerobics class! Studies show it has great benefits for those with type 1 and type 2 diabetes!

Q: Calvin has been feeling depressed during the pandemic and is running out of things to do at home. He is having difficulty concentrating and remembering things as well. In addition to seeing a counselor, his primary care physician suggested he
- sleep at least 10-12 hours a day until he starts to feel better. (Incorrect. While it’s important to get a good night’s sleep, sleeping too much isn’t ideal for our health either. Sleeping too much or too little can be a sign of depression as well.)
- avoid exercising too much because it will make his depression worse. (Incorrect. Exercise can lessen symptoms of depression and anxiety.)
- avoid sunlight and keep indoors to improve his mood. (Incorrect. Sunlight can actually help to improve mood so there is no need to avoid it unless there are medical concerns.)
- start an aerobic exercise program to help improve his mood and memory. (Correct! Regular exercise not only improves physical health, but it can help reduce feelings of depression and anxiety as well as improve memory and cognitive functioning.)
A: start an aerobic exercise program to help improve his mood and memory.

Q: Laurie is a nurse at a local hospital and often works late night shifts. She has been struggling with her sleep and trying to establish a better sleep routine. What could be one effect of Laurie improving her sleep at night?
- She’ll have a hard time focusing on tasks at work if she changes her sleep pattern. (Incorrect. Getting better sleep can actually help her to be more productive at work.)
- She’ll develop depression if she sleeps too much. (Incorrect. While oversleeping can be a potential symptom of depression, improving one’s sleep can help improve mood. Sleep deficits over time can put one at higher risk for depression.)
- She’ll establish a sleep deficit and need to sleep more on the weekends. (Incorrect. If Laurie improves her sleep at night, she should be able to avoid sleep deficits.)
- She’ll lower her risk for diabetic-like symptoms, obesity, and heart disease. (Correct! Research shows lack of sleep can contribute to weight gain and illness so improving her sleep can help Laurie mitigate these factors.)
A: She’ll lower her risk for diabetic-like symptoms, obesity, and heart disease.

Q: Studies show many benefits to being well-rested. If you get a good night’s sleep on a regular basis, what is most likely to occur?
- decreased REM sleep (Incorrect. If we sleep well every night, we’re getting an average of 4-5 sleep cycles, with the time we spend in REM sleep increasing.)
- decreased alertness (Incorrect. By getting a good night’s sleep, we increase our alertness and ability to pay attention.)
- decreased performance (Incorrect. If we are getting high quality sleep, we’re more likely to have an increase in our reasoning and problem-solving skills which will help us perform better at work, school, etc.)
- decreased chance of car accidents (Correct! By getting a good night’s sleep, you reduce your chance of falling asleep at the wheel -- which is responsible for many car accidents and deaths each year.)
A: decreased chance of car accidents

Q: Lori wants to improve her mood, focus better at work, and maintain a healthy weight as the pandemic subsides. She talked to her therapist about her concerns. What is her therapist most likely to recommend that Lori do to help with her physical and mental health?
- eat whenever she feels hungry (Incorrect. While eating when one’s hungry is important, there are other things she can do to help more in all of these areas.)
- read on her smartphone to help her fall asleep (Incorrect. Using electronic devices right before bedtime can prevent one from being able to fall asleep.)
- go on a very restrictive diet (Going on a very restrictive diet may provide some impact on weight in the short term, but there are better ways of maintaining one’s overall physical and mental health.)
- get at least 7-8 hours of sleep every night (Correct! Getting a good night’s rest has shown to help improve mood, pay attention, and reduce the likelihood of obesity.)
A: get at least 7-8 hours of sleep every night

Q: Becky hates to wake up in the morning to go to class and has developed some unhealthy sleep habits since she started college. She was reading about ways she can improve her sleep in her health class. What tip was she most likely to find?
- Have a hot cup of black tea right before bed to help relax. (Incorrect. One should avoid caffeine right before bed because it can increase alertness and make it more difficult to fall asleep.)
- Have a rigorous workout right before bed to increase sleepiness. (Incorrect. Exercising can be beneficial to sleep, but can be disruptive too close to bedtime. Make sure to exercise at least 5-6 hours before going to sleep.)
- Lie in bed as long as it takes to fall asleep. (Incorrect. The anxiety of being unable to fall asleep can make it harder to get to sleep. Experts recommend getting up and doing something else to help you feel tired.)
- Avoid sleeping in on weekends and stick with a regular sleep schedule throughout the week. (Correct! Establishing a regular sleep-wake schedule will help improve one’s sleep overall.)
A: Avoid sleeping in on weekends and stick with a regular sleep schedule throughout the week.

Q: Carmen is feeling a lot of stress and anxiety over a recent breakup he had. He can’t stop getting thoughts of his ex out of his mind and it's affecting his sleep. What would be the best tip to help him in this situation?
- Drink some alcohol to help forget his ex and help him to sleep. (Incorrect. One should avoid alcohol before bed, as that could impact the stages of deep sleep and REM sleep negatively.)
- Make the bedroom temperature hot so it will induce sleepiness. (Incorrect. Sleeping in extreme temperatures can disrupt one from sleeping or make it more difficult to fall asleep.)
- Wake up right before dawn, while it’s still dark, to start his day early. (Incorrect. Waking up with the sun or with very bright lights can help reset one’s biological clock to help improve sleep.)
- Get at least 30 minutes of exercise each day, preferably several hours before bedtime. (Correct! Getting regular exercise, not too close to bedtime, will help one improve their sleep. Exercise can also help improve one’s mood.)
A: Get at least 30 minutes of exercise each day, preferably several hours before bedtime.

Q: Zhu works late shifts at his family’s business. He’s had difficulty falling asleep for many months and always feels exhausted the next day, even when he does get sleep. What might he do at this point?
- Zhu should try to sleep in longer on days when he’s not working to help with his sleep deficits. (Incorrect. Sleeping in on days off or weekends can make it harder to wake up on other days of the week.)
- Zhu should read books on his iPad to help him get to sleep at night. (Incorrect. Reading, especially on electronic devices, can increase alertness making it harder to fall asleep.)
- Zhu should just keep pushing through each day until his sleep improves. It can’t last like this forever. (Incorrect. This is wishful thinking. There may be something more serious going on with Zhu since this has been a long term problem.)
- Zhu should see his primary care physician to rule out any potential sleep disorders. (Correct! Since he appears to have a continuous problem with sleep, it might be helpful to find out if there is something more serious going on medically.)
A: Zhu should see his primary care physician to rule out any potential sleep disorders.

Q: Michaela is a first-generation college student. She had a fight with her boyfriend the night before an important presentation she had to give in class. Her friends could tell she was stressed because she
- laughed at everyone’s jokes and seemed happier than usual. (Incorrect. Typically when someone is stressed, they may experience more negative emotions such as anger, irritability, and anxiety.)
- paid more attention to everything the professor said in class. (Incorrect. When someone is distressed, they may have difficulty concentrating and paying attention.)
- didn’t drink alcohol later that night. (Incorrect. Sometimes when people are stressed out they may increase alcohol and drug use.)
- didn’t join them to eat in the cafeteria for breakfast like she usually does. (Correct! When someone is stressed or upset, they tend to lose interest in their normal activities and their appetite may be affected (hence not wanting to socialize and/or eat as they regularly would).)
A: didn’t join them to eat in the cafeteria for breakfast like she usually does.

Q: Padma has noticed the effect that the pandemic has had on her for the past year. One of the obvious signs of stress she noticed was
- decreased drinking of alcoholic beverages. (Incorrect. During the pandemic, people who are distressed have reported an increase in drinking.)
- feeling well-rested most days of the week. (Incorrect. Disrupted sleep was a common complaint related to increased stress during the pandemic.)
- decreased worry about the future. (Incorrect. Studies show that fear or anxiety about the future is a common sign of stress, particularly during the pandemic.)
- an increase in weight that she hadn’t planned for. (Correct! Research has shown one of the effects of the stress of the pandemic was unwanted changes in weight (gain or loss) during this time.)
A: an increase in weight that she hadn’t planned for.

Q: Claude has been a frontline, essential worker during most of the pandemic. He rarely gets days off from work and has started to show signs of chronic stress. What symptom would he most likely have?
- decreased anxiety and tension (Incorrect. When someone is under chronic stress they are more likely to feel anxious and tense.)
- improved memory and concentration (Incorrect. People tend to have difficulty concentrating and with memory when under duress.)
- increased digestion (Incorrect. When someone is in distress, they are more likely to have digestive problems.)
- increased depression and irritability (Correct! One sign of chronic stress are negative mood changes such as this.)
A: increased depression and irritability

Q: You haven’t slept well ever since the pandemic started. You’re having frequent nightmares and are worried about the future. What would be the best way to manage your stress during this time?
- Avoid talking to others because they’re just as stressed out as you are. (Incorrect. While people may be more inclined to go inwards during difficult times in life, it’s more helpful to reach out to a trusted friend or family member to help navigate these challenging situations.)
- Play computer games to distract yourself from life. (Incorrect. While there may be some short term relief in these types of distractions, it may be more helpful to slow down and take a break from spending too much time the internet.)
- Say yes to any projects your boss asks you to do, even if it means overcommitting yourself, so you can avoid thinking about the future. (Incorrect. In the long run, it would be better to manage your time and not overcommit yourself so you can feel more in control of your life and reduce your stress levels.)
- Try to eat a balanced diet, exercise more often, and get 8 hours of sleep every night. (Correct! Taking care of your health during such a difficult time is key to managing your stress in a meaningful way.)
A: Try to eat a balanced diet, exercise more often, and get 8 hours of sleep every night.

Q: Victor’s friends are concerned that he isn’t managing his stress well ever since he started college. What would be a red flag that he isn’t handling this time in a healthy way?
- Victor is sleeping at least 8 hours every night. (Incorrect. If Victor was sleeping around 8 hours each night, this would be a healthy way to manage stress and shouldn’t be a cause for concern.)
- Victor temporarily deactivated his Facebook account so he could concentrate on his schoolwork. (Incorrect. While it can be worrisome if a friend deactivates their social media accounts, taking a break from distractions may be helpful in managing their stress.)
- Victor wants to hang out with friends whenever he gets breaks in his schedule. (Incorrect. If Victor is still maintaining his social connections, this is a good sign that he is trying to manage his stress in a healthy way.)
- Victor started drinking to cope with his anxious feelings. (Correct! Drinking or using drugs would be an example of an unhealthy coping mechanism that should be avoided when trying to manage stress.)
A: Victor started drinking to cope with his anxious feelings.

Q: Kelly McGonigal is a health psychologist who researches stress and our perceptions of it. Which statement is the most accurate example of how she believes we can manage stress?
- Stress can only be dealt with effectively by ignoring it. (Incorrect. Kelly McGonigal never said we should ignore stress but that we can reevaluate it and see it as a sign of personal progress.)
- A meaningful life is one that is stress-free. (Incorrect. Kelly McGonigal believes that a meaningful life is a stressful life because it means something we care about is at stake.)
- Stress is always bad so we should avoid it at all costs. (Incorrect. Kelly McGonigal believes that we can turn stress into a sign of personal progress and it’s not always bad -- it’s just a matter of how we perceive it.)
- If we create personal meaning about our stress, we can cope with it more effectively. (Correct! Kelly McGonigal believes that how we perceive our stress can affect its impact on us and by creating meaning from it, we can manage it better.)
A: If we create personal meaning about our stress, we can cope with it more effectively.

Q: Sara frequently feels sad and anxious since her relationship ended. She calls out of work often because she can’t get the motivation to get out of bed and is worried she may get fired. This has been going on for several months now and she can’t seem to snap out of it. What best describes Sara’s situation?
- Sara is showing indicators of mental health. (Incorrect. Sara isn’t showing signs of mental health as she is having a difficult time coping and cannot work productively.)
- Sara is adjusting normally to a break up and shouldn’t worry. This will pass eventually. (Incorrect. While it is normal to feel sad after the end of a relationship, Sara’s mood has been altered for a while now and it’s affecting her ability to function in other areas of her life.)
- Sara can work on feeling better herself and doesn’t need to seek help. (Incorrect. While Sara may do things independently to feel better, it could be beneficial for her to talk to a professional so she can get back on track with her mood and worklife.)
- Sara seems to have signs of mental illness. (Correct. Sara appears to be in distress and it’s impairing her functioning. She could benefit from talking to someone professionally.)
A: Sara seems to have signs of mental illness.

Q: Gracie met with a career counselor to help determine what she wants to do when she graduates from college. Her career counselor described Gracie as someone with a “good head on her shoulders” who gets along well with others and is destined for greatness. Based on what her counselor described, this is indicative of
- Gracie’s mental illness. (Incorrect. There is nothing about this description that would indicate Gracie is struggling and cannot function well.)
- strategies Gracie can use to improve her mental health. (Incorrect. There doesn’t appear to be recommendations Gracie’s counselor has provided that indicate she needs to improve her mental health. She appears to be functioning very well.)
- Gracie’s physical health. (Incorrect. It appears that her counselor is focusing more on other aspects of Gracie’s health and how she is functioning in life.)
- Gracie’s mental health. (Correct! The positive ways Gracie has been described is indicative of her functioning well in life and demonstrating mental health.)
A: Gracie’s mental health.

Q: Jalaysia noticed that many of her classmates in college became anxious or depressed during the pandemic. Jalaysia wanted to be proactive to protect her mental health, so she
- stayed up late every night and ate as much as she wanted to. (Incorrect. While it may be easy to stay up late and eat whatever one wants to, in the long run this may not help one’s physical and mental health.)
- smoked marijuana when she started to feel any stress. (Incorrect. Coping with stress by using drugs or alcohol may not protect someone’s mental health in the long run.)
- kept to herself and started a dramatic diet to lose weight. (Incorrect. Keeping connected with others and eating a balanced (not extreme) diet would be more likely to help with one’s mental health.)
- made sure to get enough sleep, eat well, and stay in touch with friends and family. (Correct! In order to preserve her mental health, Jalaysia made good choices regarding sleep, diet, and maintaining social connections during this difficult time.)
A: made sure to get enough sleep, eat well, and stay in touch with friends and family.

Q: Felipe is getting ready to graduate college. He wants to make sure he’s setting up an appropriate payment plan for his student loans that fits into his budget. He reviewed his income and made an appointment with the bursar’s office to look at his balance and discuss payment options in more detail.

What type of wellness is Felipe addressing?
- occupational wellness (Incorrect. Occupational wellness involves personal happiness and satisfaction derived from one’s work.)
- intellectual wellness (Incorrect. Intellectual wellness focuses on using one’s creative abilities to learn and expand knowledge.)
- environmental wellness (Environmental wellness refers to establishing a nurturing, safe, and healthy environment for oneself as well as concern for the world around us.)
- financial wellness (Correct! Working out ways to pay back student loans and manage a budget are great examples of being financially responsible.)
A: financial wellness

Q: Jeremiah and James just got married and are looking forward to spending their lives together. Jeremiah just started a new job that he’s passionate about. He wants to make sure though that he has a good balance between work and leisure (which includes time to spend with his husband). James is an interior designer and has taken a lot of care to make sure their home is spacious, de-cluttered, and peaceful. He takes a lot of pride in having a comfortable and eco-friendly living space for the two of them. Jeremiah seems more focused on ________ wellness, while James is establishing their ________ wellness.
- intellectual; spiritual (Incorrect. Jeremiah hasn’t expressed concern specifically about academic pursuits, but more career-focused, whereas James is concerned more with their living space, not necessarily purpose and meaning in life in this situation.)
- financial; occupational (Incorrect. Jeremiah hasn’t shown that he needs to balance his budget or be more fiscally responsible, whereas James isn’t focusing on his career goals specifically, but how he can apply some of that knowledge to creating peaceful and eco-conscious space in their home.)
- emotional; physical (Incorrect. While Jeremiah does want to have time for his husband, he’s more focused on the life balance between work and leisure and not so much coping with difficulties in life. James is concerned more about the health of the space they are living in, not necessarily personal health in this scenario.)
- occupational; environmental (Correct! Jeremiah is excited about the enrichment he’s getting from his new job but also wants to balance that out with his free time, whereas James is focused on making their home pleasant and environmentally conscious.)
A: occupational; environmental

Q: Zeki is a transfer student from Turkey and just started his first semester at an American university. He wants to make new friends and get to know more people. His advisor suggests he attend the upcoming club fair to see the various ways he can get connected with others at the college. What type of wellness is Xavier seeking?
- intellectual wellness (Incorrect. While being at college is certainly a way to expand one’s intellectual horizons, in this example Zeki is focused more on establishing connections with others.)
- spiritual wellness (Incorrect. While focusing on purpose and meaning in life may be important for Zeki, in this example more of the focus is on establishing a sense of belonging and connections at his new school.)
- emotional wellness (Incorrect. While there is some overlap with emotional wellness and coping effectively in life, Zeki seems more focused on creating networks of support in his new school in this example.)
- social wellness (Correct! Zeki seems to want to establish social connections and a sense of belonging at his new school.)
A: social wellness

Q: Robert feels like crying all of the time and can’t sleep at night. He’s restless and irritable and his mother is worried he might be depressed. What could be another indication that he’s suffering from depression?
- Robert has high levels of energy and can’t wait to go to school in the morning. (Incorrect. When someone is depressed, they are more likely to have decreased levels of energy and fatigue.)
- Robert is doing better than usual in his classes and is unusually focused on his grades. (Incorrect. Someone who is depressed is more likely to have difficulty concentrating and remembering things, which could negatively impact their schoolwork.)
- Robert is cleaning things repetitively because he is fearful of contamination. (incorrect. This isn’t a symptom of depression, but could be a symptom of obsessive-compulsive disorder.)
- Robert has no interest in talking to his friends or playing his favorite video games anymore. (Correct! One symptom of depression is a lack of interest or pleasure in hobbies or activities one typically would enjoy.)
A: Robert has no interest in talking to his friends or playing his favorite video games anymore.

Q: Donnie has been in a downtrodden mood for several weeks now. He’s lost his appetite, can’t fall asleep at night, and has lost weight. He has aches and pains that don’t seem to have a medical explanation as well. What disorder could Donnie be suffering from?
- generalized anxiety disorder (Incorrect. Generalized anxiety disorder is marked more by persistent worry over a variety of issues that go on for at least 6 months or longer.)
- posttraumatic stress disorder (Incorrect. PTSD is caused by living through or witnessing a traumatic event and having flashbacks or nightmares, hypervigilance, and other negative responses due to the incident(s).)
- obsessive-compulsive disorder (Incorrect. OCD is marked by intrusive thoughts (obsessions) and/or rituals people feel compelled to engage in (compulsions).)
- depression (Correct! A sad mood, changes in appetite and weight, problems with sleep, and unexplained body aches going on for 2 weeks or more can all be symptoms of clinical depression.)
A: depression

Q: If someone is suffering from ________, they may be easily agitated by others, experience a low mood for at least two weeks, have changes in their appetite and weight, and have other somatic symptoms like changes in sleep habits and unexplained body aches and pains.
- bipolar disorder (Incorrect. Bipolar disorder is a fluctuation in extreme highs (i.e. mania) and lows (depression).)
- generalized anxiety disorder (Incorrect. GAD consists of persistent worry about a variety of situations for at least 6 months or longer.)
- posttraumatic stress disorder (Incorrect. PTSD is caused by living through or witnessing a traumatic event and having flashbacks or nightmares, hypervigilance, and other negative responses due to the incident(s).)
- depression (Correct! Depression can be characterized by a sad mood, increased or decreased appetite, unintentional weight loss or gain, problems in sleep, and bodily discomfort without a medical explanation for 2 weeks or more.)
A: depression

Q: Yachiel and his roommates, Stu, Fernando, Alejandro are freshman college students in a large liberal arts university in New York City. Each of them is adjusting to college life in different ways. Which roommate would you suspect is experiencing loneliness?
- Yachiel can relax more when he is by himself in their apartment. (Incorrect. Yachiel may be enjoying his solitude when he’s able to unwind by himself, which doesn’t mean he’s lonely.)
- Fernando uses time alone to recharge his energy so he can interact better when he’s around others. (Incorrect. Fernando appears to be using his alone time in a way that is beneficial to him and isn’t the negative feeling of being lonely.)
- Alejandro finds himself cleaning a lot when he’s in the apartment by himself. (Alejandro is using his time alone in a productive manner, not necessarily out of loneliness.)
- Stu feels sad and anxious when he’s by himself and always wants to hang out with his roommates. (Correct! Feeling uncomfortable emotionally when he’s alone is an indication that Stu may be lonely.)
A: Stu feels sad and anxious when he’s by himself and always wants to hang out with his roommates.

Q: Lonnie has felt very lonely since his long-term girlfriend broke up with him. He started to see a therapist who has suggested ways for him to feel less lonely. Which suggestion would be a better way to combat his loneliness?
- Reminisce on the times with his ex-girlfriend so that the memories make him feel less lonely. (Incorrect. Focusing too much on the past will not allow him to cope with his present feelings of loneliness and move on.)
- Avoid being alone at all costs as it will only make him feel worse. (Incorrect. Practicing time by oneself can be beneficial to coping with loneliness and learning to enjoy one’s own company.)
- Only focus on the future since he can’t change the past. (Incorrect. While being future-oriented may be helpful, embracing the present moment could help one to start to enjoy alone time.)
- Spend more time doing things he enjoys such as hiking, camping, or kayaking with friends. (Correct! By engaging in activities he enjoys and spending less time ruminating, he can help himself to feel less lonely.)
A: Spend more time doing things he enjoys such as hiking, camping, or kayaking with friends.

Q: Lawna is worried about her daughter Ava since she started attending a college on the west coast, far away from her friends and family. She suspects that Ava is experiencing loneliness because she
- likes to spend time in her room painting alone. (Incorrect. Just because someone enjoys doing certain activities alone doesn’t mean they are lonely.)
- stays in her apartment all the time. (Incorrect. Being alone itself isn’t necessarily indicative of loneliness. It’s how one perceives it that can transform it to something negative.)
- feels recharged after spending a lot of time by herself. (Incorrect. Having more energy after being alone isn’t a sign of loneliness, but perhaps a sign that someone likes their solitude.)
- frequently laments that she doesn’t know a soul at college and misses being home. (Correct! Experiencing negative feelings because one doesn’t have friends or company is an example of what loneliness looks like.)
A: frequently laments that she doesn’t know a soul at college and misses being home.

Q: Several students have made appointments in the counseling center at your college. Which student seems to have the highest risk for suicidality?
- Mya is a transfer student from Greece who is still getting used to life in America. She’s having a hard time making friends and feels lonely living on campus. (Incorrect. While it may be difficult to adjust to a new college, country, and making friends, this isn’t necessarily a warning sign that someone is suicidal. More information would need to be gathered to determine if that is a concern for Mya.)
- Ethan is having trouble in his relationship and is afraid that his girlfriend might be cheating on him. He isn’t sure how to confront her about this. (Incorrect. Relationship troubles aren’t uncommon, and while Ethan may be upset at the moment, it doesn’t necessarily mean he’s feeling suicidal.)
- Badu is struggling in his classes and thinks he may fail some of them. He’s concerned about what his parents will think and keeps lying to them about his progress in school. (Incorrect. Struggling in school isn’t that uncommon and isn’t necessarily a sign that Badu is feeling suicidal. More information would need to be gathered to make that assessment.)
- Jade reported that her family recently discovered she was bisexual. She’s been having a wide range of strong emotions since then. She talked about feeling hopeless and helpless and that it would probably be better if she wasn’t around anymore. (Correct! When someone is suicidal they often feel hopeless and helpless and talk about dying. Young LGBTQ+ people are also at higher risk for suicidal ideation. Jade would need to see a counselor as soon as possible so she can be assessed for risk.)
A: Jade reported that her family recently discovered she was bisexual. She’s been having a wide range of strong emotions since then. She talked about feeling hopeless and helpless and that it would probably be better if she wasn’t around anymore.

Q: Curtis is worried about his roommate’s mental health and wonders if he’s contemplating suicide. He doesn’t want to say the wrong thing and isn’t even sure what the warning signs might look like. He doesn’t think his roommate is in immediate danger but feels he should talk to someone. Who should Curtis call to get more information?
- He should call his mother to get her advice. (Incorrect. While talking to his mother might give some perspective, Curtis should talk to trained counselors who specialize in these issues.)
- He should call 911. (Incorrect. At this point, since his roommate isn’t in immediate crisis, it may be premature for Curtis to call 911.)
- He shouldn’t call anyone. It’s none of his business. (Incorrect. If he’s worried about his roommate’s mental health, he should reach out to someone -- either his roommate directly or mental health professionals. Suicide needs to be taken seriously.)
- He can call the National Suicide Prevention Lifeline, available 24/7 or a school counselor. (Correct! Curtis can get more information from trained crisis counselors at 1.800.273.TALK (8255) or contact the counseling office at his college.)
A: He can call the National Suicide Prevention Lifeline, available 24/7 or a school counselor.

Q: Roberta’s teenage son Kyle has been very angry lately and she suspects he’s been using drugs. Kyle has been avoiding his friends and Roberta found him searching online for ways to die. Roberta is concerned her son is showing warning signs of ________.
- anxiety (Incorrect. While Kyle might be suffering with anxiety, there is a more pressing concern right now.)
- posttraumatic stress disorder (Incorrect. More information would be needed to determine if Kyle has PTSD, but there is another issue that is a major concern right now.)
- alcoholism (Incorrect. It wasn’t specified that Kyle is abusing alcohol, but there is another issue that is pressing concern right now.)
- suicide (Correct! Kyle is showing some signs that he might be suicidal between the substance use, anger, and looking for a way to kill himself.)
A: suicide

Q: Fynn was an overweight child and has developed an intense fear of gaining weight since he’s started college. He wants to avoid gaining the “freshman 15” that he’s heard other students talk about. He’s been losing an excessive amount of weight in a short time span due to his restrictive eating habits and his parents and friends are starting to get worried. What disorder might Fynn be suffering from?
- bulimia (Incorrect. Bulimia is characterized by binging and purging and people with this disorder tend to maintain their weight.)
- binge eating disorder (BED) (Incorrect. BED is characterized by binging large amounts of food in a short time period and typically people gain weight.)
- pica (Incorrect. Pica is an eating disorder where sufferers eat non-food items.)
- anorexia (Correct! Intense fear of gaining weight, low weight due to restriction or binging and purging, and misperceptions about body shape or size are typical for this disorder.)
A: anorexia

Q: Joeyanna has been hiding her eating disorder from her family for several years now. She’s concerned about her body image and engages in eating large amounts of fast food several times a week and forces herself to throw it up afterwards. She’s maintained her body weight and has an irregular menstrual cycle as a result of her extreme eating behaviors. Which eating disorder does Joeyanna appear to be suffering from?
- Anorexia (Incorrect. While anorexia can feature binging and purging behaviors, it’s typically characterized by extreme weight loss and intense fear of gaining weight.)
- binge eating disorder (BED) (Incorrect. While binging does occur in BED, it doesn’t involve purging behaviors.)
- pica (Incorrect. Pica is an eating disorder where sufferers eat non-food items.)
- bulimia (Correct! Bulimia is characterized by binging and purging behaviors and people with this disorder tend to maintain their weight.)
A: bulimia

Q: Catherine finds herself visiting the drive-thru windows of several fast food restaurants at least 3 nights a week. She sits in the parking lot and quickly eats all of the food she bought and feels shameful afterwards hoping that no one sees her doing this. Catherine is concerned about her body image but has been gaining more and more weight due to her late night overeating. What disorder does Catherine most likely suffer from?
- anorexia (Incorrect. While anorexia can involve some binging behaviors, it would also entail purging afterwards and typically results in low weight and intense fear of gaining weight.)
- bulimia (Incorrect. Bulimia is characterized by both binging and purging and people with this disorder tend to maintain their weight.)
- other specified eating and feeding disorder (OSFED) (OSFED is a diagnosis reserved for people whose symptoms don’t fit into the other categories of eating disorders. Catherine’s diagnosis does meet some of the criteria for a specific disorder.)
- binge eating disorder (BED) (Correct! Catherine appears to have BED since she is engaging in binge eating without purging.)
A: binge eating disorder (BED)

Q: Steve experienced sudden physical symptoms that frightened him when driving his truck to work one day. He had heart palpitations, dizziness, chest pain and thought he was having a heart attack. This wasn’t the first time he had these symptoms out of nowhere. He went to the emergency room at a local hospital and was told that he didn’t have a heart attack, but appeared to have
- obsessive-compulsive disorder. (Incorrect. OCD is marked by intrusive obsessive thoughts and compulsions (rituals) that someone feels compelled to engage in. Steve was having panic attacks.)
- generalized anxiety disorder. (Incorrect. GAD is a free-floating anxiety about a variety of situations for 6 months or more. Steve was having unexpected panic attacks.)
- a phobic reaction. (Incorrect. Phobias are intense, irrational fears about something that poses little or no danger. Steven was having unexpected panic attacks.)
- panic disorder. (Correct! Steve was showing classic signs of a panic disorder -- experiencing unexpected panic attacks with multiple physical symptoms.)
A: panic disorder.

Q: Mark is fixated with doing things five times. After he washes his hands, he has to return to the sink 5 times to make sure the water is turned off. Even when he’s reassured by others that he doesn’t need to do this, he still feels compelled to check anyway. These intrusive thoughts and rituals have impacted Mark in a variety of ways and it’s taken a big toll on his life and time management. Mark is most likely suffering from
- posttraumatic stress disorder (Incorrect. Mark doesn’t appear to have flashbacks, nightmares, or other negative reactions in response to witnessing a traumatic event. Mark is affected by intrusive thoughts and behaviors.)
- generalized anxiety disorder (Incorrect. GAD is excessive anxiety or worry for at least 6 months about a variety of situations. Mark is affected by intrusive thoughts and behaviors.)
- panic disorder (Incorrect. Mark doesn’t appear to be suffering from unexpected panic attacks and fears of having more. He is affected by intrusive thoughts and behaviors.)
- obsessive-compulsive disorder (Correct! Mark is consumed by intrusive thoughts and feels he must engage in these compulsive actions to help quell his thoughts.)
A: obsessive-compulsive disorder

Q: Sanaz was sexually abused as a child. She frequently has nightmares and flashbacks about the abuse and is easily irritated, jumpy, and isolates herself from friends and family. What disorder is Sanaz most likely suffering from?
- panic disorder (Incorrect. Panic disorder is marked by unexpected panic attacks and fear of having more. Sanaz is responding to trauma that she’s experienced.)
- generalized anxiety disorder (Incorrect. GAD is marked by excessive anxiety and worry about a variety of things. Sanaz is responding to trauma that she’s experienced.)
- phobic disorder (Incorrect. Phobias are intense, irrational fears of things that pose little or no danger. Sanaz is responding to a real trauma that she’s experienced.)
- posttraumatic stress disorder (Correct! PTSD can develop after someone lives through or witnesses a traumatic event such as this and these are classic symptoms of the disorder.)
A: posttraumatic stress disorder

Q: Monika likes to go out drinking with her friends on the weekends. What behavior(s) would Monika have to display that may indicate risk for a substance use disorder?
- Monika got so drunk one time that she vomited in the bathroom at the club. (Incorrect. Getting sick once from drinking doesn’t necessarily indicate a substance use disorder. There would need to be a pattern of problems over a period of time for there to be concern for a substance use disorder.)
- Monika makes sure she is the designated driver sometimes so she won’t drink and can take care of her friends. (Incorrect. If Monika is able to refrain from drinking sometimes, this is a positive sign that she is less likely to develop a substance use disorder.)
- Monika likes to drink so she is more social when meeting new people. (Incorrect. As long as it’s not creating a pattern of problems for her, drinking occasionally in social situations doesn’t necessarily indicate risk for a substance use disorder.)
- Monika is steadily increasing the amount she drinks and cannot seem to stop -- this has started to impact her work and relationships negatively. (Correct! Increased use of alcohol over a longer period of time and an inability to reduce or discontinue use are some early indicators of a potential substance use disorder. Interpersonal problems developing from alcohol use is also a red flag.)
A: Monika is steadily increasing the amount she drinks and cannot seem to stop -- this has started to impact her work and relationships negatively.

Q: Malik is studying to become a chemical dependency counselor. He’s learning about substance use disorders in his addictions class. Which behavior(s) is part of the criteria for a substance use disorder?
- Someone steadily decreases their use of a substance over time. (Incorrect. If someone needs to keep increasing their use over time, that is more indicative of a problem -- not decreasing use.)
- An individual stops using a substance when something bad happens. (Incorrect. If someone stops using a substance because of the negative impact, that is a positive sign. If they can’t stop despite negative occurrences from using a substance, then there would be a problem.)
- Someone drinks the same amount of alcohol every time and gets the same effect. (Incorrect. This is what would be expected if someone hasn’t developed tolerance. It would be more problematic if they need to increase the use of the substance to feel an effect.)
- Important family and work obligations are given up because of substance use. (Correct! This is part of the social impairment criteria that may occur when someone has a substance use disorder.)
A: Important family and work obligations are given up because of substance use.

Q: Victoria is a cigarette smoker and just found out that she is pregnant. She’s having a hard time quitting smoking. What impact might this have on her pregnancy?
- It will only impact her health and not the health of the baby. (Incorrect. Using tobacco can impact the health of both the mother and her child.)
- There will be no significant impact on the health of either her or the baby since it’s only cigarettes. (Incorrect. Tobacco is also a drug and can impact the health of both the mother and her child.)
- Her baby may be born overweight and past her due date. (Incorrect. The baby is more likely to be smaller and born earlier.)
- Her baby may be born prematurely and underweight. (Correct! Using tobacco can cause the child to be born too early, too small, and create other health problems.)
A: Her baby may be born prematurely and underweight.

Q: Carmine was recently diagnosed with an autoimmune disorder. Should he have any concerns about drinking alcohol?
- No, as long as he doesn’t operate a motor vehicle while intoxicated, he shouldn’t have any problems. (Incorrect. There are other health concerns that can stem from alcohol use so it’s wise to watch how much one is drinking.)
- Yes, because he could develop an addiction if he drinks with this condition. (Incorrect. He won’t necessarily develop an addiction or alcohol use disorder with an autoimmune disease but should be cautious anyway because of his health condition.)
- No, because drinking alcohol only affects the liver and not the immune system. (Incorrect. Drinking alcohol affects the brain and many other parts of the body.)
- Yes, because drinking too much alcohol can weaken one’s immune system. (Correct! Drinking too much can weaken the immune system, making the body more susceptible to disease.)
A: Yes, because drinking too much alcohol can weaken one’s immune system.

Q: Some college students may be unaware of the effects of alcohol on the body. What statement would be the most accurate regarding the effects of drinking?
- The liver is the main organ affected by drinking. (Incorrect. There are many organs in the body that are impacted by drinking, not just the liver.)
- Alcohol will have no effect on the body unless someone gets very drunk. (Incorrect. There are various ways that alcohol can impact the body negatively.)
- Only people with pre-existing medical conditions should avoid alcohol at all costs. (Incorrect. People with certain medical conditions may need to avoid alcohol but they’re not the only ones. People who are driving, pregnant or wanting to get pregnant, and those taking certain medications will also need to avoid alcohol.)
- Serious health problems can develop from drinking over a long period of time or even once. (Correct! Long-term problems can develop from drinking regularly. Even a single time can damage the heart or contribute to weakening the immune system up to 24 hours after getting drunk.)
A: Serious health problems can develop from drinking over a long period of time or even once.

Q: Sally wants to socialize more on campus this year and attend parties, but is trying to minimize the negative impact of alcohol on her body. If she chooses to drink, what would be the safer way to do so?
- Sally can drink 4 alcoholic beverages in a 2 hour period at parties and still be fine. (Incorrect. If she drank 4 or more drinks in a 2 hour period, this is defined as binge drinking which is a major health and safety concern for college students.)
- Sally can drink 2 drinks per day with no problems. (Incorrect. This is above the range for moderate drinking for women, which could lead to some health problems eventually.)
- As long as Sally doesn’t blackout, she can enjoy drinking as much as she wants at parties. (Incorrect. While blacking out after drinking is definitely a major concern, she should still be mindful of how much she is drinking and not drink excessively.)
- Sally shouldn’t drink any more than 3 drinks in one day or more than 7 drinks during the week. (Correct! If she chooses to drink, she would be at a low risk of developing an alcohol use disorder if she stays within these limits.)
A: Sally shouldn’t drink any more than 3 drinks in one day or more than 7 drinks during the week.

Q: Your psychology professor had an addictions expert come to class to discuss the effects of drugs on the body and mind. A classmate asked if prescription drugs were harmful. What is the addictions expert most likely to say?
- Prescription pain medications are less harmful than any illicit drugs. (Incorrect. The perception is that prescription medications are less harmful because they are legal, but they can be just as harmful as illegal drugs.)
- Prescription drugs are only harmful if mixed with alcohol. (Incorrect. While mixing alcohol with many drugs (prescription or not) can be harmful, prescription drugs can be potentially dangerous on their own as well.)
- Prescription drugs are helpful and won’t impact one’s health negatively. (Incorrect. Any drugs, whether they are legal, prescription, or illegal, can potentially impact the body negatively if misused.)
- Prescription pain medications are misused more often and result in more deaths than heroin. (Correct! More people die from prescription pain medication overdoses than from heroin and cocaine combined.)
A: Prescription pain medications are misused more often and result in more deaths than heroin.

Q: Marijuana has been legalized in many states in the U.S. and is given by prescription for some medical conditions. Which statement is most accurate regarding what we know so far about its effect on the body?
- All of the long-term effects of medical marijuana have been studied and it’s 100% safe for those using it. (Incorrect. Little is known about the long-term effects of medical marijuana and further research will be needed to determine whether people taking it for medical conditions will have adverse effects from its use.)
- Medical marijuana decreases the appetite for patients with AIDS. (Incorrect. Medical marijuana is used to stimulate appetite in patients with wasting syndrome due to AIDS.)
- The positive effects people report using medical marijuana are only due to the placebo effect. (Incorrect. While it’s possible that the placebo effect may be playing a role in some of the positive effects people report using medical marijuana, it is not exclusively due to this. People are having real pharmacological benefits from its use.)
- Medical marijuana has been helpful in treating nausea induced by chemotherapy for cancer patients. (Correct! THC-based medications prescribed in pill form for the treatment of nausea in patients undergoing cancer chemotherapy have shown to be effective.)
A: Medical marijuana has been helpful in treating nausea induced by chemotherapy for cancer patients.

Q: Kris is writing a research paper comparing heroin and oxycodone for his health class. What would be an accurate statement he could include in his paper?
- Oxycodone is safer because it is prescribed as a medicine. (Incorrect. Oxycodone (also known by the brand names OxyContin® or Percocet®) can be just as dangerous as heroin.)
- Oxycodone isn’t as addictive as heroin. (Incorrect. Oxycodone can be just as addictive as heroin, especially if smoked or injected.)
- Heroin causes more deaths than prescription pain medications like OxyContin. (Incorrect. More people overdose from pain medicines every year than from heroin.)
- Both heroin and oxycodone are opioids that can slow or stop one’s breathing and induce a coma. (Correct! Both of these are in the same class of drugs and can cause similar health effects such a coma, stopped or slowed breath, and death.)
A: Both heroin and oxycodone are opioids that can slow or stop one’s breathing and induce a coma.

Q: Riley is a high school student whose parents are divorced. She lives with her dad who is an alcoholic. No matter what Riley tries to suggest, her dad doesn’t seem open to wanting to stop drinking. She’s frustrated and feels all alone sometimes. Where can she go to find support?
- Alcoholics Anonymous (Incorrect. A.A. is a support group for those with a desire to stop drinking themselves.)
- Al-Anon (Incorrect. While Al-Anon is a support group for those affected by someone else’s drinking, there is a more appropriate group for someone of Riley’s age.)
- Narcotics Anonymous (Incorrect. N.A. is a support group for those who are misusing prescription or illegal drugs themselves.)
- Alateen (Correct! Alateen is a support group to help teenagers deal with their parent’s alcoholism.)
A: Alateen

Q: Sonia is a chemical dependency counselor who is trying to serve her clients during the COVID-19 pandemic. She and several of her clients have underlying medical conditions that would make meeting in person more risky. What should she do during this time to assist her clients?
- Postpone meeting clients during the pandemic. (Incorrect. There are other options for counselors to still assist their clients during this time.)
- Refer clients to the SAMHSA National Helpline. (Incorrect. While that could be one option, there are still other ways clients could get direct care from their existing counselors during this time.)
- Recommend all of her clients just attend 12-step group meetings, such as A.A. and N.A. right now. (Incorrect. While there are now some virtual options for 12-step groups, counselors can still use similar methods to still meet with their clients.)
- Meet clients using telehealth technology, such as virtual meetings or phone calls. (Correct! Fortunately telehealth options have expanded during the pandemic making it easier for counselors to still assist their clients without endangering the health of everyone involved.)
A: Meet clients using telehealth technology, such as virtual meetings or phone calls.

Q: Jessica is a freshman in college and has been experimenting with drugs and alcohol at parties with friends. She’s not sure if she’s starting to have a problem with it but wants to meet with someone who can help and provide guidance. Where should she go to talk?
- Al-Anon meetings (Incorrect. Al-Anon meetings are support groups for people who are concerned about a loved one’s use of alcohol, not for themselves.)
- her new friends on campus (Incorrect. While it might be helpful to talk about things with friends, it’s likely that she is using these substances with her new friends on campus so they might not be the most objective sources of information.)
- the public safety office (Incorrect. While the public safety office might be helpful in a variety of ways, they’re typically not trained as therapists.)
- her college’s counseling office (Correct! Her college’s counseling office should be able to explore her patterns of use with her and provide guidance and referrals, if needed.)
A: her college’s counseling office

Q: Suzi didn’t realize she had a sexually transmitted disease until she got an abnormal pap smear result because she wasn’t showing any symptoms. Her gynecologist told her she had the most common STD. Which STD did Suzi have?
- gonorrhea (Incorrect. While this STD is very common among young people (especially ages 15-24), it’s not the most common STD for everyone.)
- chlamydia (Incorrect. While chlamydia is common, it’s not the most common of all the STDs, and fortunately is treatable.)
- genital herpes (Incorrect. While some people with genital herpes may show no or little symptoms, it’s not the most common STD.)
- human papillomavirus (HPV) (Correct! HPV is the most common STD and nearly all sexually active people will get it at some point in their lives. Luckily there is a vaccine for it.)
A: human papillomavirus (HPV)

Q: Nia wants to be a gynecologist and is learning about the different types of sexually transmitted diseases in medical school. She was particularly fascinated to discover that one of the STDs has so many possible symptoms and is often mistaken for other ailments, that it is referred to as “the great imitator.” Which STD fits this description?
- HIV/AIDS (Incorrect. Some of the initial symptoms of HIV can be flu-like symptoms or swollen glands and the most advanced stages are referred to as AIDS. A blood test can easily tell if someone has this disease.)
- gonorrhea (Incorrect. While gonorrhea often doesn’t have recognizable symptoms and can be confused for bladder or vaginal infections, it’s not as deceiving as another STD described in this scenario.)
- HPV (Incorrect. While there are different types of HPV and it can cause other medical conditions, it’s not known to mimic other ailments in the same way.)
- syphilis (Correct! Syphilis can manifest itself in many different ways -- from a painless sore to a non-itchy rash and more.)
A: syphilis

Q: Sami and Shawn have been dating for six months. They’ve decided to become sexually active and want to avoid pregnancy or getting any sexually transmitted diseases. What would be the best way to achieve this goal?
- Shawn should use the pull-out method before he ejaculates during sex. (Incorrect. People can still get pregnant from the pull-out method and this also doesn’t protect one from STDs.)
- They should become mutually exclusive and not worry about condoms. (While mutual monogamy can help protect against STDs, both people should be tested to assure they’re free from STDs. Also, if condoms aren’t going to be used, another birth control method would need to be decided upon to reduce the chance of pregnancy.)
- They should get drunk before they have sex to reduce fertility. (Incorrect. While drinking can reduce fertility for men and women, it also could reduce inhibitions making it less likely that people would use condoms. Also, regular drinking can cause additional health problems.)
- They both should get tested for STDs and use condoms every time they have sex. (Correct! While abstinence is the best way to prevent pregnancy and STDs, for those who choose to become sexually active, getting tested and using condoms all the time can help reduce these risks.)
A: They both should get tested for STDs and use condoms every time they have sex.

Q: QVictor is a freshman at college and is cautious about his new environment and people he might interact with. He has been sexually assaulted in the past and is always worried it could happen again. Statistically the risk of sexual assault that Victor, or anyone could face would be
- usually by a stranger they pass by on the street. (Incorrect. Sexual assaults are typically committed by non-strangers.)
- typically committed by an authority figure. (Incorrect. While sexual assaults may be committed by authority figures, they typically are committed by anyone known to the victim.)
- committed by someone who is sexually frustrated. (Incorrect. Rape is about power and control, not just a sexual impulse.)
- higher from someone they already know. (Correct! People are more likely to be sexually assaulted by people they already know (i.e. friend, acquaintance, romantic partner, or family member).)
A: higher from someone they already know.

Q: A prevention-training session is being developed for Greek life on major college campuses to address safe use of alcohol and sexual assault prevention. What should be included as a recommendation to reduce one’s risk of being sexually assaulted?
- Only attend parties where you know most of the people. (Incorrect. While it may be helpful to know some people at the party, that isn’t a guarantee that you won’t be sexually assaulted, especially considering most assaults occur from people known to the victim.)
- Have your least drunk friend watch over you at parties. (Incorrect. Having a friend who is completely sober monitor you at parties would be better.)
- If you leave your drink unattended, only continue to drink it if it doesn’t smell strange. (Incorrect. While you shouldn’t drink something that smells strange, some drugs have no smell, color, or taste so you may not even know you have been drugged. It’s best to pour out unattended drinks at a party.)
- Don’t accept drinks from other people and keep your drink with you at all times. (Correct! By not accepting drinks from others and having control of your drink at all times, you can prevent someone from slipping something in your drink to drug you.)
A: Don’t accept drinks from other people and keep your drink with you at all times.

Q: Annie went on a date with a guy she met in her statistics class. They went to dinner and went back to his off-campus apartment to watch a movie. Annie woke up in the morning not remembering anything from the night before after she went to his place. She suspects he drugged her drink and believes she may have been raped. What should she do next to get help?
- Annie should go home and take a shower and call a friend for support. (Incorrect. If he wants to get help and report this, she’ll need to avoid destroying evidence that still may be present on her body.)
- Annie should tell her mom and avoid this man in the future. (Incorrect. While she could use the emotional support of loved ones, if she wants to get help and report this, she’ll need to provide bodily evidence to the proper authorities.)
- Annie should urinate to get rid of any residual drugs in her system and call the police. (Incorrect. Annie should refrain from urinating as a urine sample can be used to test for date rape drugs at a hospital.)
- Annie should avoid showering, urinating, changing clothes, or cleaning herself in any way & go to the nearest hospital emergency room so evidence can be collected in a rape kit. (Correct! In order for medical staff to collect evidence of the rape and potential drugging, she refrain from doing anything that could affect the detection of the assault.)
A: Annie should avoid showering, urinating, changing clothes, or cleaning herself in any way & go to the nearest hospital emergency room so evidence can be collected in a rape kit.

Q: Ariel and Veronica are on a date. They decide to go back to Ariel’s place to hang out and they start kissing. Ariel wants to go further but isn’t sure that Veronica is interested. What would be a sign that Veronica consents to continuing the sexual activity?
- Ariel keeps trying to convince Veronica to go to the next level until she reluctantly agrees. (Incorrect. Consent should be given freely and enthusiastically and not pressured.)
- Ariel gives Veronica some more wine to help her to relax and Veronica drinks it. (Incorrect. Getting someone drunk so they are more likely to engage in sexual activity is not consent. People cannot consent if they are drunk or incapicitated by drugs or alcohol.)
- Veronica said she is just comfortable with kissing for the time being until she gets to know Ariel better. (Incorrect. This is not a sign that Veronica is consenting to go further with Ariel.)
- Veronica excitedly agrees when Ariel asks her if she wants to go further and is specific in what she wants to do. (Correct! Consent is freely given, informed, enthusiastic, reversible, and specific about the activity wanted.)
A: Veronica excitedly agrees when Ariel asks her if she wants to go further and is specific in what she wants to do.

Q: A fraternity at your university is having a large party off-campus in their frat house. Many people are meeting for the first time and looking to hook up. Which scenario is a good example of consent?
- Two friends from a local high school, Jennica and Morgan, who are 16 years old, decide to show up to the party. Chad, a 22-year old fraternity brother tries to convince Jennica to come to his room to have sex. (Incorrect. The high school students are underage and cannot give consent freely.)
- Tyler is drunk and passed out in one of the bedrooms. Ben, one of the other party goers who just met them that night, comes into the room and starts to undress Tyler. (Incorrect. Tyler is incapacitated and cannot give consent freely.)
- Felicity agreed to go with Kyle to one of the upstairs bedrooms to talk. She agrees to kiss him, but Kyle wants to do more and keeps pressuring Felicity to have sex. (Incorrect. Consent doesn’t involve pressure and Felicity is being specific about what she wants (to talk and kiss) and it doesn’t appear that she wants sex.)
- Kevin and Monique are both sober and mutually agree to go to a room alone to make out. When one of them wants to stop, the boundaries are respected and they return to the party. (Correct! They’re showing consent through mutual agreement to their sexual boundaries and both individuals are able to make the decision without being intoxicated.)
A: Kevin and Monique are both sober and mutually agree to go to a room alone to make out. When one of them wants to stop, the boundaries are respected and they return to the party.

Q: Todd and Kelly have been dating for one year. They are sexually intimate with one another and Todd wants to have oral sex one night. Kelly has engaged in oral sex with Todd in the past but tonight tells him she isn’t interested in doing that. If their sexual relationship is consensual, what would be the expectation here?
- Since Kelly has had oral sex with Todd in the past, she shouldn’t make a big deal out of it and go along with it tonight. (Incorrect. Just because someone has done something in the past doesn’t mean they agree to it in the future.)
- Todd should keep asking for oral sex until Kelly changes her mind. (Incorrect. Consent doesn’t involve pressure or coercion.)
- Todd should do something he doesn’t want to do sexually to make it even between them. (Incorrect. Both parties should give consent enthusiastically and want to engage in the activities they’ve agreed to.)
- Kelly has a right to change her mind and have her boundaries respected, since consent can be reversible. (Correct! Consent is reversible and just because Kelly has engaged in this activity in the past doesn’t mean that has to in the future.)
A: Kelly has a right to change her mind and have her boundaries respected, since consent can be reversible.

Q: During freshman orientation, campus police spoke about the importance of students to value their safety anytime and anywhere and to be aware of potential dangers in their surroundings. What are campus police encouraging students to have?
- an unrealistic concern of danger (Incorrect. Having awareness of one’s surroundings and potential hazards in it is an appropriate thing to be mindful of for everyone.)
- a fire escape route (Incorrect. While having a plan to escape a fire on campus is important, that is not exactly what is the meaning of this term.)
- fear of strangers (Incorrect. Campus police aren’t encouraging a fear of strangers but just for one to be aware of their environment and the hazards that may be within it.)
- safety consciousness (Correct! Safety consciousness is a term describing one’s awareness of hazards, and their alertness to potential dangers in their environment.)
A: safety consciousness

Q: The Clery Act requires all colleges and universities who receive federal funds to be safety conscious. What is one way they are required to do so?
- They must publish an annual security report containing campus security policy disclosures and crime statistics from the previous 10 years. (Incorrect. They have to publish the annual security report containing this information from the previous three years, not ten years.)
- They must publish an annual fire-safety report containing policy disclosures and fire statistics for on-campus student housing facilities for the previous 5 years. (Incorrect. They are required to publish the annual fire-safety report containing this information from the previous three years, not 5 years.)
- They must request crime statistics from local law enforcement in the jurisdictions in the surrounding counties of the campus. (Incorrect. They are only required to request crime statistics from local law enforcement in the jurisdiction where the institution is located.)
- They must issue timely warnings to alert the campus community about crimes that pose a serious or continuing threat to safety. (Correct! They must also disclose their policies and procedures in their annual security report.)
A: They must issue timely warnings to alert the campus community about crimes that pose a serious or continuing threat to safety.

Q: Tariq’s parents want to find out more about the safety policies and procedures of the colleges where their son is applying to go. What should they expect to find in these disclosures as required by law?
- weather evacuation routes, campus sports statistics, and fraternity and sorority safety plans (Incorrect. The Clery Act requires that colleges report crimes on and around their campus, amongst other things.)
- crime statistics on and off campus only (Incorrect. While reporting crimes on and around their campus is part of the requirement of the Clery Act, there is more to it.)
- fire and injuries reported on campus (Incorrect. While fire reports are part of what The Clery Act requires, there is more to it than this.)
- emergency notification and evacuation procedures, crime reports, fire statistics, and missing-student notification procedures (Correct! All of these things are part of what colleges have to report as part of the Clery Act, which focuses on campus safety and reporting crimes on and around their campuses.)
A: emergency notification and evacuation procedures, crime reports, fire statistics, and missing-student notification procedures

Q: Eleisha has 3 roommates and wants to make sure they’re staying safe. They live in an off-campus apartment and Eleisha recommends everyone
- avoid carrying any cash with them. (Incorrect. Having some emergency cash with you can be helpful.)
- make sure to lock their cars just before they go to bed at night. (Incorrect. Their cars should be locked all the time, not just at night.)
- call the police when they hear any loud noises outside. (Incorrect. It’s important to be cautious, but it’s not necessary to be paranoid by calling the cops for everything that’s bothersome.)
- make sure to lock their apartment door at all times. (Correct! Locking their apartment all the time will make it less likely their home will be broken into.)
A: make sure to lock their apartment door at all times.

Q: Toby and his parents are visiting colleges that he is interested in applying to. They want to know more about the safety of the campuses. What is the best strategy for Toby to stay safe?
- Walk around the campuses and look for suspicious behavior. (Incorrect. You can’t necessarily tell about the safety of the school by walking around looking for suspicious behavior.)
- Don’t worry about it until he chooses a college. There is no way for him to get this information until he’s accepted by admissions to enroll in courses. (Incorrect. Even non-students can access safety information about the schools in advance.)
- Do an internet search of crime rates in the city where the colleges are located. (Incorrect. While this may have some usefulness, it may not provide the whole picture of what crime is like on campus and amongst the college community.)
- Ask questions to learn more about the college surroundings, the community culture, and safety precautions he’d be well advised to implement. (Correct! One of the best strategies to stay safe is to ask appropriate questions to the college representatives and other students.)
A: Ask questions to learn more about the college surroundings, the community culture, and safety precautions he’d be well advised to implement.

Q: Elyse attended a presentation during freshman orientation about how to stay safe in college. It was recommended that students have
- just enough alcohol that they can handle at parties. (Incorrect. Using alcohol and drugs can ruin a life as one gives up control when they are intoxicated.)
- someone they can call if they are worried when walking home alone at night. (Incorrect. While it’s good to have someone to call, one should avoid walking home alone at night.)
- a key hidden outside their dorm in case they get locked out at night. (Incorrect. It’s easy for potential intruders to find keys in typical hiding spots, so avoid doing this.)
- situational awareness and avoid being distracted by their cell phones when walking. (Correct! Cell phone use can be deadly as it poses the biggest distraction to college students.)
A: situational awareness and avoid being distracted by their cell phones when walking.