Directions: provide an answer with a rationale.

1.The National Institute on Drug Abuse specifies 4 categories of inhalants: volatile solvents, nitrites, gasses, and aerosols. Inhalants, also known as volatile substances, are often among the first drugs which young children and adolescents experiment. About 17.1% of eighth graders, 13.1% of tenth grades, and 11.4% of twelfth graders report abusing inhalants at least once. Examples of common substances, include sniffing glue, inhaling paints or sprays, and breathing contents of aerosol spray cans. A) What are the most common medical conditions associated with inhalant intoxication and what is the best course of treatment? B) What class of medications, commonly used to treat substance withdrawal, are contraindicated in the treatment of inhalant intoxication? Why?

2. As with all patients suffering from an opioid use disorder, medication-assisted therapy (MAT), in combination with counseling and behavioral health interventions is the mainstay of treatment for LGBTQ people with opioid use disorder. However, given the multifactorial nature of opioid use in LGBTQ people and the complex medical needs of this population, certain concerns, and considerations may arise during the course of opioid use disorder treatment. Identify at least 1 population-specific concern and explain how you will tailor your interventions to meet the needs of LGBTQ persons with an opioid use disorder given the concern you have identified.

3.There are about 5.2 million American Indians and Alaska Natives in the United States (about 1.7% of the total population). American Indians and Alaska Natives experience some of the highest rates of substance use and mental disorders compared to other U.S. racial or ethnic groups. Explain the population-specific factors contribute to the increased prevalence of substance use disorders among American Indian/Alaska Natives and discuss at least 3 strategies to facilitate culturally competent care.