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Worksheets0003:Health Consequences of Alcohol, Tobacco, and Other Drug Use
Total questions: 100
Worksheet time: 50mins
Which of the following is a substance of concern related to alcohol, tobacco, and other drug use?
Alcohol
Sugar
Caffeine
Water
Which of the following includes vapes, cigarettes, and smokeless tobacco?
Alcohol
Tobacco/nicotine
Illicit drugs
Prescription drug misuse
Which of the following is an example of an illicit drug?
Heroin
Ibuprofen
Vitamin C
Caffeine
Prescription drug misuse includes the misuse of which of the following?
Opioids
Alcohol
Marijuana
Nicotine
Marijuana and cannabis products are considered substances of concern in the context of alcohol, tobacco, and other drug use.
True
False
What mental health disorder can substance use trigger or worsen, including anxiety, depression, and psychosis?
Mental health disorders
Cardiovascular diseases
Digestive disorders
Skin conditions
Substance use alters brain chemistry, leading to tolerance, withdrawal, and cravings. What is this effect called?
Addiction and dependence
Neuroplasticity
Homeostasis
Cognitive dissonance
Impaired judgment/decision-making due to substance use can lead to which of the following?
Risky behavior
Academic issues
Crime
All of the above
Mood swings, aggression, low self-esteem, and emotional numbness are symptoms of which effect of substance use?
Emotional dysregulation
Physical dependence
Improved concentration
Enhanced immunity
Suicidal ideation or self-harm is especially likely when combined with what conditions?
Depression or trauma
Physical exercise
Balanced diet
Good sleep hygiene
Teens with untreated mental health issues are at higher risk of turning to substances to self-medicate.
True
False
Which substance is associated with cancer (lungs, mouth), emphysema, and heart disease?
Tobacco
Caffeine
Sugar
Salt
Alcohol can cause which of the following physical impacts?
Liver damage (cirrhosis)
Brain damage
Digestive issues
Increased accident risk
All of the above
Vaping/Nicotine use can lead to lung damage (e.g., popcorn lung), heart strain, and addiction.
True
False
Which substance can cause respiratory depression, overdose, and infectious diseases if injected?
Opioids
Stimulants
Antibiotics
Antacids
Impaired memory, coordination issues, and lung problems (if smoked) are physical impacts of which substance?
Marijuana
Alcohol
Caffeine
Nicotine
High blood pressure, heart attacks, malnutrition, and insomnia are physical impacts of which substances?
Stimulants (e.g., cocaine, meth)
Depressants (e.g., alcohol, benzodiazepines)
Hallucinogens (e.g., LSD, psilocybin)
Opioids (e.g., heroin, morphine)
Adolescent use affects brain development, increasing long-term risk for cognitive, emotional, and behavioral issues.
True
False
What is a possible explanation for relationship problems as a social health effect of substance use?
Lies, trust issues, aggression, withdrawal from friends/family
Improved communication and understanding
Increased financial stability
Enhanced physical fitness
What is a possible explanation for academic/work performance issues as a social health effect of substance use?
Missing school/work, poor grades, disciplinary action
Increased physical fitness and energy
Improved memory and concentration
Enhanced social relationships
What is a possible explanation for peer pressure as a social health effect of substance use?
Teens may start using to fit in or avoid rejection
Teens use substances to improve their academic performance
Peer pressure only affects adults, not teens
Substance use is always a result of family influence
What is a possible explanation for legal issues as a social health effect of substance use?
Underage drinking, possession charges, DUIs, incarceration
Improved academic performance, increased motivation, better sleep
Enhanced immune system, reduced stress, healthier relationships
Increased physical fitness, better nutrition, improved memory
What is a possible explanation for stigma and social isolation as a social health effect of substance use?
People with addiction may be judged or excluded
Substance use always leads to improved relationships
People with addiction are always supported by society
Substance use eliminates all social barriers
Substance use can suppress or exaggerate emotions.
True
False
Substance use can increase which of the following?
Irritability
Guilt
Shame
Helplessness
Substance use can create emotional dependency on a substance to cope with stress or trauma.
True
False
Substance use can lead to which of the following scenarios that worsen emotional trauma?
Family breakdown
Divorce
Abuse
All of the above
A health educator is planning a unit on substance abuse. Which of the following best describes the emotional health consequence of long-term drug use?
Damage to the lungs
Loss of trust in relationships
Feelings of depression and emotional instability
Increased risk of cancer
Match the Health Domain with its corresponding ATOD Impact:
Mental
Addiction, mood disorders, poor judgment
Physical
Lung/liver/heart damage, overdose, developmental harm
Social
Damaged relationships, peer pressure, legal issues
Emotional
Depression, anger, emotional dependency, low self-worth
Environmental
Secondhand smoke, unsafe home/community environments
The correct, legal, or medically supervised use of a drug as intended or prescribed is called ________.
Drug Use
Drug Abuse
Drug Misuse
Drug Addiction
The incorrect or inappropriate use of a prescription or over-the-counter drug is called ________.
Drug Misuse
Drug Therapy
Drug Absorption
Drug Metabolism
The intentional use of a drug for nonmedical purposes or to get high, often repeatedly and habitually, is called ________.
Drug Abuse
Drug Tolerance
Drug Prescription
Drug Metabolism
Distinguish among drug use, misuse, and abuse by selecting the correct definitions for each term.
Drug use is taking a drug as prescribed, misuse is using a drug incorrectly, and abuse is using a drug for non-medical reasons.
Drug use is always illegal, misuse is always accidental, and abuse is always safe.
Drug use and misuse mean the same thing, while abuse is different.
Drug use is only for recreation, misuse is for medical purposes, and abuse is for addiction.
Match the type of drug behavior to its example:
Drug Use
Taking prescribed antibiotics exactly as directed
Drug Misuse
Taking someone else’s prescription painkiller for a headache
Drug Abuse
Using Adderall without a prescription to stay up all night
Which of the following is an example of drug misuse?
Taking prescribed antibiotics exactly as directed
Taking someone else’s prescription painkiller for a headache
Using Adderall without a prescription to stay up all night
Using Adderall without a prescription to stay up all night is an example of _________
Drug Abuse
Drug Allergy
Drug Prescription
Drug Metabolism
Doubling a dose of cold medicine 'just in case' is considered drug misuse.
True
False
According to the comparison table, what is the intent of drug use?
To treat or manage a medical issue
To enhance physical appearance
To increase intelligence instantly
To improve athletic performance without training
What is the health risk level associated with drug abuse?
Low (if supervised)
Moderate to high
High — leads to addiction, overdose
Is drug misuse always legal/authorized?
Sometimes
Always
Yes, in some countries
Only with a prescription
Misuse may be accidental or based on poor understanding; abuse is intentional and often repeated.
True
False
What is the proper use of prescription painkillers according to the table?
Taken post-surgery as prescribed
Taken whenever you feel pain, without consulting a doctor
Shared with friends or family who are in pain
Used to help you sleep at night
What is an example of misuse of cough syrup?
Drinking more than recommended
Taking it only when sick
Following the doctor's instructions
Reading the label before use
What is an example of abuse of stimulants (e.g., Adderall)?
Taking large doses for energy or high
Taking as prescribed by a doctor
Using for medical purposes only
Following dosage instructions carefully
What is the legal age for drinking alcohol according to the table?
21
16
18
25
What is the risk of trying nicotine/vapes once out of curiosity?
Regular use despite health risks
Instant addiction after one use
Permanent memory loss
Immediate death
Misuse and abuse both carry increased risk of dependency and harm.
True
False
Misuse may unintentionally lead to abuse if not addressed early.
True
False
Health educators help students understand the line between proper use and ________.
dangerous use
safe use
regular use
occasional use
Health educators help students recognize ________ of misuse or abuse in themselves or others.
warning signs
benefits
causes
solutions
Health educators help students understand the difference between ________ and harmful substances.
medications
vitamins
snacks
toys
A student takes extra cold medicine because they think it will work faster. This is best classified as:
Drug use
Drug misuse
Drug abuse
Drug dependency
The safe, legal, and proper use of medication is called _____. Example: Taking antibiotics as prescribed.
Use
Abuse
Misuse
Overdose
The incorrect use (wrong dose, person, or purpose) of medication is called _____. Example: Using expired meds or taking someone else's painkillers.
Misuse
Prescription
Dosage
Therapy
The intentional, unsafe use to feel high or escape reality is called _____. Example: Using marijuana regularly to cope with stress.
Abuse
Tolerance
Prescription
Withdrawal
Classify drugs such as stimulants, depressants, narcotics, and hallucinogens, and summarize their short- and long-term effects on health status and body system functioning.
Stimulants increase alertness, depressants slow body functions, narcotics relieve pain, and hallucinogens alter perception; all can have both short- and long-term health effects.
Stimulants slow body functions, depressants increase alertness, narcotics cause hallucinations, and hallucinogens relieve pain; all have only short-term effects.
Stimulants and depressants both increase alertness, narcotics and hallucinogens both relieve pain; none have long-term effects.
All drug types only affect mental health and have no impact on body systems.
Which of the following is an example of a stimulant?
Alcohol
Nicotine
Barbiturates
Tranquilizers
What is a short-term effect of stimulants?
Relaxation
Increased energy
Liver damage
Memory problems
Long-term use of stimulants can lead to ________, anxiety, insomnia, addiction, and paranoia.
heart problems
hair loss
improved memory
weight gain
Which of the following is a depressant?
Caffeine
Cocaine
Alcohol
Methamphetamine
What is a short-term effect of depressants?
Increased alertness
Impaired coordination and judgment
Elevated heart rate
Nervous system overdrive
Long-term use of depressants can cause liver damage, dependence, memory problems, and ________.
depression
increased energy
improved memory
heightened alertness
Which system impact is associated with stimulants?
Respiratory suppression
Cardiovascular strain
Brain and liver damage
Impaired drowsiness
What are some examples of narcotics (opioids)?
Heroin, morphine, oxycodone, fentanyl, hydrocodone
Aspirin, ibuprofen, acetaminophen, naproxen
Penicillin, amoxicillin, ciprofloxacin, doxycycline
Caffeine, nicotine, alcohol, taurine
Which of the following is a short-term effect of narcotics (opioids)?
Persistent psychosis
Pain relief
Flashbacks
Mood disorders
What is a long-term effect of narcotics (opioids)?
Addiction, tolerance, withdrawal, overdose, respiratory failure
Increased energy and alertness
Improved memory and concentration
Permanent immunity to infections
Narcotics (opioids) impact the system by causing CNS depression, slowed breathing, GI tract suppression, and brain changes.
True
False
What are some examples of hallucinogens?
LSD, psilocybin (magic mushrooms), PCP, ketamine, MDMA (Ecstasy)
Aspirin, ibuprofen, acetaminophen, naproxen
Caffeine, nicotine, alcohol, taurine
Penicillin, amoxicillin, erythromycin, doxycycline
Which of the following is a short-term effect of hallucinogens?
Drowsiness
Visual/auditory distortions
Constipation
Euphoria
What is a long-term effect of hallucinogens?
Persistent psychosis, flashbacks, mood disorders
Increased muscle strength and endurance
Improved memory and concentration
Rapid weight gain and hair growth
Which of the following is an example of an inhalant?
Heroin
LSD
Paint
Morphine
What are the primary effects of inhalants?
Euphoria, dizziness, brain/liver/kidney damage
Increased muscle mass and strength
Improved vision and hearing
Rapid weight loss and hair growth
Cannabis includes which of the following products?
Marijuana, THC products
Synthetic drugs (e.g., spice, bath salts)
Alcohol
Opioids
Designer Drugs are best described as:
Natural drugs
Synthetic drugs (e.g., spice, bath salts)
Prescription drugs
Over-the-counter drugs
The effect of cannabis use includes altered perception, memory loss, and ________.
lung damage
improved vision
increased intelligence
faster reflexes
Designer drugs are known for being unpredictable and often ________ effects.
dangerous
pleasant
temporary
beneficial
Which body system is affected by drugs causing altered brain chemistry, addiction, cognitive impairment, and seizures?
Nervous System
Cardiovascular System
Digestive System
Immune System
High or low blood pressure, arrhythmias, heart attack, and stroke are effects of substance use on which body system?
Cardiovascular System
Digestive System
Respiratory System
Skeletal System
Slowed breathing and lung damage are effects of substance use on the ________ system.
Respiratory
Digestive
Circulatory
Nervous
As a health educator, you should teach how different drugs work and how to ________ them.
identify
consume
ignore
manufacture
One of the roles of a health educator is to help students resist peer pressure and identify safe coping strategies.
True
False
Which of the following drug types slows the central nervous system and can cause respiratory depression in large doses?
Stimulants
Depressants
Hallucinogens
Inhalants
The short-term effects of Stimulants include energy, focus, and _________?
high heart rate
low blood pressure
drowsiness
slow reflexes
The long-term effects of Depressants include dependence, liver damage, and _________.
memory loss
increased appetite
improved vision
faster reflexes
The system affected by Narcotics/Opioids includes the brain, lungs, and ________ system.
digestive
circulatory
immune
skeletal
Hallucinogens can cause ________ and confusion as short-term effects.
hallucinations
drowsiness
nausea
headaches
Inhalants can cause brain and ________ damage as long-term effects.
organ
muscle
skin
bone
The system affected by Cannabis includes the brain and ________.
lungs
heart
kidneys
stomach
Internal and external factors influence decisions related to alcohol, tobacco, and other drug use in which of the following ways?
Internal factors like depression and self-esteem, and external factors like media and peers, can affect choices about substance use.
Only external factors such as media and family influence substance use decisions.
Personal values have no impact on decisions about alcohol, tobacco, or drug use.
Decisions about substance use are not influenced by any internal or external factors.
What internal factor increases the risk of self-medicating with drugs or alcohol to escape emotional pain?
Depression
High intelligence
Physical strength
Good nutrition
Which internal factor leads to increased susceptibility to peer pressure, risk-taking, or need for social approval?
Low self-esteem
High intelligence
Physical strength
Good time management
Strong anti-drug values often reduce use; unclear or ambivalent values may lead to experimentation. Which internal factor does this describe?
Personal values and beliefs
Peer pressure
Media influence
Family history
Which internal factor is associated with early experimentation and continued use?
Impulsivity or risk-taking personality
High academic achievement
Strong family support
Low peer influence
Poor coping increases the likelihood of turning to substances under stress or conflict. Which internal factor does this describe?
Coping skills
Peer pressure
Genetic predisposition
Socioeconomic status
Which internal factor increases the chance of underestimating risk or accepting myths about drug safety?
Lack of knowledge
High intelligence
Strong memory
Excellent communication skills
Match the external factor with how it influences ATOD use:
Family
Parental modeling (e.g., smoking, drinking), permissiveness, neglect, or family substance use
Peers
Peer pressure, peer modeling, desire to fit in, social norms within friend groups
Media and pop culture
Glamorization of drug use in music, movies, influencers, or advertising (especially for vaping)
Cultural norms
Some communities may normalize alcohol or marijuana use; others may stigmatize it
Community environment
Access to substances, local drug trends, poverty, violence, school policies
A student with ______ (internal) may be more vulnerable to peer pressure (external).
low self-esteem
high intelligence
strong willpower
excellent memory
A teen with strong family support (external) and ______ (internal) is less likely to use substances.
high personal values
low self-esteem
poor study habits
limited interests
A person with ______ (internal) exposed to music or social media promoting substance use (external) may turn to drugs or alcohol.
depression
happiness
curiosity
strength
Adolescents are especially influenced by peer approval and media messages, making these external factors critical targets for prevention.
True
False
