Registered Practical Nurse (RPN) Practice Test

Which statement is true regarding the relationship between mental illness and substance abuse?

1. People with mental illness have lower rates of substance abuse

2. People suffering from mental illness have much higher rates of substance abuse

3. The rates of substance abuse are the same for individuals with and without mental illness

4. Substance abuse does not affect individuals with mental illness

The correct answer is: People suffering from mental illness have much higher rates of substance abuse

The relationship between mental illness and substance abuse is complex and well-documented in both clinical and research settings. Individuals who suffer from mental illness often experience higher rates of substance abuse compared to those without such disorders. This correlation can be attributed to several factors, including the use of substances as a form of self-medication to cope with the symptoms of mental health conditions, as well as the social and environmental stressors that accompany mental illness. Research indicates that conditions such as depression, anxiety, bipolar disorder, and schizophrenia can significantly increase the risk of developing substance use disorders. The shared neurobiological pathways and the overlap in symptoms between mental health and substance abuse disorders further complicate this relationship. Therefore, recognizing the elevated rates of substance abuse among individuals with mental illnesses is essential for providing effective care, supporting integrated treatment approaches, and addressing both issues simultaneously.