Exam 6: Substance Use Assessment

The nurse is reviewing aspects of substance abuse in preparation for a seminar. Which of these statements illustrates the concept of tolerance to an illicit substance?

A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit. She asks the nurse, "How many drinks a day is safe for my baby?" What is the best response by the nurse?

The nurse is conducting an interview with an adult male patient. Which statement made by the patient indicates an alcohol use disorder?

A patient is brought to the emergency department. He is restless, has dilated pupils, is sweating, has a runny nose and tearing eyes, and complains of muscle and joint pains. His girlfriend thought he had influenza, but she became concerned when his temperature went up to 39.4 $\degree$ C. She admits that he has been a heavy drug user, but he has been trying to stop on his own. The nurse suspects that the patient is experiencing withdrawal symptoms from which substance?

During a session on substance abuse, the nurse is reviewing statistics with the class. For people aged 12 years and older, which illicit substance was most commonly used?

A patient visits the clinic to ask about smoking cessation. He has smoked heavily for 30 years and wants to stop "cold turkey." He asks the nurse, "What symptoms can I expect if I do this?" Which of these symptoms should the nurse share with the patient as possible symptoms of nicotine withdrawal? (Select all that apply.)

The nurse is assessing a patient who has been admitted for cirrhosis of the liver, secondary to chronic alcohol use. Which assessment finding should the nurse expect?

The nurse has completed an assessment on a patient who came to the clinic for a leg injury. As a result of the assessment, the nurse has determined that the patient has at-risk alcohol use. Which action by the nurse is most appropriate at this time?

The nurse is conducting a class on alcohol and the effects of alcohol on the body. What information about the number of standard drinks (each containing 14 grams of alcohol) associated with a 32% increase in breast cancer should the nurse include in the class?

The nurse is admitting a patient with an addiction to alcohol to a treatment center. Which screening tool should the nurse use to assess for symptoms of alcohol withdrawal?

The nurse is asking an adolescent about illicit substance abuse. The adolescent answers, "Yes, I've used marijuana at parties with my friends." What is the next question the nurse should ask?

A patient with a known history of heavy alcohol use has been admitted to the ICU after he was found unconscious outside a bar. The nurse closely monitors him for symptoms of withdrawal. Which of these symptoms may occur during this time? (Select all that apply.)

A woman has come to the clinic to seek help with a substance-abuse problem. She admits to using cocaine just before arriving. Which of these assessment findings would the nurse expect to find when examining this woman?

When reviewing the use of alcohol by older adults, the nurse notes that older adults have several characteristics that can increase the risk for alcohol use. Which would increase the bioavailability of alcohol in the blood for longer periods in the older adult? (Select all that apply.)

During an assessment, the nurse asks a female patient, "How many alcoholic drinks do you have a week?" Which answer by the patient would indicate at-risk drinking?