The Teen Brain & Substances
Nicotine & Vaping
Health Effects
Peer Pressure & Refusal Skills
Media Influence & Healthy Choices
100

What part of the brain helps you make decisions and control impulses?

Prefrontal cortex

100
One pod is the same as a smoker smoking _____ cigarettes 

20

100

Vaping can damage this organ, making it harder to breathe during sports or exercise.

Lungs

100

What is one strong refusal phrase you can use?

“No thanks, I don’t do that.” / “I’ve got a game tomorrow.”

100

Why do companies advertise alcohol and vapes on social media?

To make money and target young people

200

What happens to the brain’s development when teens use drugs or alcohol?

It slows or interrupts healthy brain growth

200
Vaping is dangerous because it creates this cloud of elements when someone vapes known as 

an aerosol 

200

This body system helps fight illness and can be weakened by vaping.

Immune System 
200

What is the first step when using refusal skills?

The first step when using refusal skills is to clearly say “no” with confidence — using firm body language and tone to show you mean it.

200

Seeing friends, celebrities, or influencers vape online can create this false idea that “everyone is doing it.”

Social Norms/Peer Pressure

300

What kind of drug speeds up the body and brain?

A stimulant

300

A highly addictive drug found in tobacco and vapes

Nicotine

300

This problem can happen because nicotine changes how the brain works.

Addiction

300

A teammate encourages you to stay after practice to train together instead of going to a party where people are drinking.
What type of peer pressure is this, and how could it help your health or goals?

  • Answer: Positive peer pressure.

  • How it helps: Encourages healthy choices, supports goals, builds discipline, and avoids risky situations.

300

What does “responsible decision-making” mean?

Thinking about long-term effects before you act

400

Which chemical in marijuana affects memory and motivation?

THC

400

What do vaping companies do to attract teens and make vaping seem harmless?

add flavors and bright packaging

400

To need a drug/substance to function "normally" is what phase of the addiction process.

Dependance

400

A friend keeps pressuring another classmate to drink at a weekend party. You notice the classmate looks uncomfortable but doesn’t speak up. What are two things you could do or say to support them and model refusal skills in that situation?

  • Step in and say something like, “They already said no—let’s drop it.”

  • Change the topic or suggest another activity (“Let’s just watch the game instead”).

  • Stay beside your friend to show support so they’re not isolated.

  • Leave the situation with them.

  • Reinforce their choice later (“Good job sticking to what’s right for you”).

400

Give one example of a healthy way to handle stress.

Exercise, music, journaling, talking to someone

500

Explain one reason why the teenage brain is more likely to become addicted than an adult brain.

The brain’s reward and control centers are still developing, making habits form more easily

500

This chemical flavoring has been linked to serious lung disease and is sometimes called “popcorn lung.”

Diacyl 

500

Teens who vape are more likely to develop this long‑term lung disease later in life.

COPD (Chronic Lung Disease)

500

A student promised themselves they’d stay drug-free. At a birthday party, their closest friend offers them a drink and says, “Come on, it’s just one — everyone else is doing it.” The student hesitates and ends up drinking anyway.

  • nternal pressures: wanting to fit in, fear of judgment, self-doubt, or low confidence.

  • External pressures: friends offering alcohol, group behavior, social expectations.

  • Better response: use assertive refusal (firm “no”), remove self from the situation, remind self of goals/values, plan ahead with a support system or exit strategy.

  • Connection: True refusal skills require recognizing both inside and outside pressures before responding.

500

When a student confidently says “no,” gives a reason, and walks away after being pressured by friends or social media to vape, they are using this.

Refusal Skill

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