Question 1

Who has the greatest chance of success in a substance misuse treatment program?

Accepted Answer

A) A 22-year-old female who misuses alcohol and tobacco 
B) A 38-year-old male who misuses heroin and tobacco 
C) A 62-year-old female who misuses alcohol and marijuana 
D) A 43-year-old single mother of three school-aged children who misuses alcohol 
A) A 22-year-old female who misuses alcohol and tobacco 
B) A 38-year-old male who misuses heroin and tobacco 
C) A 62-year-old female who misuses alcohol and marijuana 
D) A 43-year-old single mother of three school-aged children who misuses alcohol B

Question 2

It is critical for nurses to remain focused on which one of the following,in relation to substance use?

Accepted Answer

A) Prevalence 
B) Health promotion 
C) Law enforcement 
D) Social determinants of health 
A) Prevalence 
B) Health promotion 
C) Law enforcement 
D) Social determinants of health B

Question 3

One of the three action plans in Canada's Anti-Drug Strategy is:

Accepted Answer

A) preventing dependency on prescription drugs. 
B) harm-reduction needle exchange centers. 
C) employee assistance programs for health care providers. 
D) combating the distribution of illicit drugs. 
A) preventing dependency on prescription drugs. 
B) harm-reduction needle exchange centers. 
C) employee assistance programs for health care providers. 
D) combating the distribution of illicit drugs. D

Question 4

Which following substance is on the decline for use among those aged 15 years and older?

Accepted Answer

A) Alcohol 
B) Cannabis 
C) Crystal methadone 
D) Tobacco 
A) Alcohol 
B) Cannabis 
C) Crystal methadone 
D) Tobacco

Question 5

Which of the following statements is false in relation to substance use?

Accepted Answer

A) Substance use is a recreational activity. 
B) Many people use substances to feel numb. 
C) Violence decreases with an increase in substance use. 
D) Sometimes people use substances to "feel normal." 
A) Substance use is a recreational activity. 
B) Many people use substances to feel numb. 
C) Violence decreases with an increase in substance use. 
D) Sometimes people use substances to "feel normal."

Question 6

When administering the TWEAK questions as part of the nursing health assessment,which letter in the acronym directs the nurse to ask "Do you sometimes feel the need to cut down on your drinking"?

Accepted Answer

A) T 
B) W 
C) E 
D) K 
A) T 
B) W 
C) E 
D) K

Question 7

When beginning the substance use section on a history-taking health assessment,what is the best initial question for the nurse to ask?

Accepted Answer

A) "Do you use any illegal substances?" 
B) "Do you drink alcohol?" 
C) "How much alcohol do you drink?" 
D) "Many people use marijuana;is this something you have tried?" 
A) "Do you use any illegal substances?" 
B) "Do you drink alcohol?" 
C) "How much alcohol do you drink?" 
D) "Many people use marijuana;is this something you have tried?"

Question 8

Social attitudes toward which one of the following have become increasingly less tolerant in Canada?

Accepted Answer

A) Alcohol use 
B) Marijuana use 
C) Tobacco use 
D) Gambling 
A) Alcohol use 
B) Marijuana use 
C) Tobacco use 
D) Gambling

Question 9

Which of the following would the nurse expect to assess in a patient who has just taken heroin via injection?

Accepted Answer

A) Dilated pupils 
B) Hypertension 
C) Bradycardia 
D) Sweating 
A) Dilated pupils 
B) Hypertension 
C) Bradycardia 
D) Sweating

Question 10

Which of the following are demonstrating an increase in tobacco use?

Accepted Answer

A) Adolescents 
B) Females 
C) Low-income populations 
D) High-socioeconomic-status families 
A) Adolescents 
B) Females 
C) Low-income populations 
D) High-socioeconomic-status families

Question 11

Which statement is true in relation to the CAGE questionnaire?

Accepted Answer

A) It takes about 5 minutes to administer. 
B) It has 20 closed-ended questions. 
C) It does not distinguish past problem drinking from active present drinking. 
D) It is reliable and valid to use on any nationality and both genders. 
A) It takes about 5 minutes to administer. 
B) It has 20 closed-ended questions. 
C) It does not distinguish past problem drinking from active present drinking. 
D) It is reliable and valid to use on any nationality and both genders.

Question 12

When administering the TWEAK questions as part of the nursing health assessment,which letter in the acronym directs the nurse to ask,"Has a friend or family member ever told you about things you said or did that you could not remember?"

Accepted Answer

A) T 
B) W 
C) E 
D) A 
A) T 
B) W 
C) E 
D) A

Question 13

Gender,as a social determinant of health,places women more at risk of substance misuse problems.Which of the following is true in relation to women and substance use?

Accepted Answer

A) Women are perceived as being more in control. 
B) Women receive harsher legal sentences than men. 
C) Women who are mothers are rarely sent to jail for drug use. 
D) Women are less sexually promiscuous than their male counterparts. 
A) Women are perceived as being more in control. 
B) Women receive harsher legal sentences than men. 
C) Women who are mothers are rarely sent to jail for drug use. 
D) Women are less sexually promiscuous than their male counterparts.

Question 14

Which of the following is a symptom of cocaine withdrawal?

Accepted Answer

A) Insomnia 
B) Nausea and vomiting 
C) Lacrimation 
D) Malaise 
A) Insomnia 
B) Nausea and vomiting 
C) Lacrimation 
D) Malaise

Question 15

Which of the following is a key assumption about substance use that must be challenged?

Accepted Answer

A) Cannabis should be legalized. 
B) Use is a matter of personal choice. 
C) The war on drugs is important. 
D) Harm-reduction strategies are effective. 
A) Cannabis should be legalized. 
B) Use is a matter of personal choice. 
C) The war on drugs is important. 
D) Harm-reduction strategies are effective.

Question 16

Approximately how many Canadians aged 15 years and older consume alcohol?

Accepted Answer

A) 50% 
B) 60% 
C) 70% 
D) 80% 
A) 50% 
B) 60% 
C) 70% 
D) 80%

Question 17

In response to data collection related to the use of needles and illicit substances,a patient has told the nurse that she "shoots up every day" and then asks the nurse why it is important that she know that.The nurse's response is based upon knowledge about which of the following?

Accepted Answer

A) People who use needles need to ensure that the needles are sterile. 
B) Liver function tests should be assessed for people who inject illicit substances. 
C) Blood testing for some infections can be offered if the nurse is aware of injection substance use. 
D) A more in-depth mental health assessment is required for people who inject illicit substances. 
A) People who use needles need to ensure that the needles are sterile. 
B) Liver function tests should be assessed for people who inject illicit substances. 
C) Blood testing for some infections can be offered if the nurse is aware of injection substance use. 
D) A more in-depth mental health assessment is required for people who inject illicit substances.

Question 18

Which one of the following is an objective sign of alcohol intoxication?

Accepted Answer

A) Nystagmus 
B) Relief of anxiety 
C) Impaired memory 
D) Depression 
A) Nystagmus 
B) Relief of anxiety 
C) Impaired memory 
D) Depression

Question 19

According to the Canadian Nurses Association,which of the following is a principle of harm reduction?

Accepted Answer

A) Harm reduction focuses on reducing harm associated with a narrow range of substances. 
B) Harm reduction requires abstinence and discontinuation of substance use. 
C) Harm reduction is the opposite of prevention and treatment approaches. 
D) Harm reduction requires substance users to participate in policy making and program development. 
A) Harm reduction focuses on reducing harm associated with a narrow range of substances. 
B) Harm reduction requires abstinence and discontinuation of substance use. 
C) Harm reduction is the opposite of prevention and treatment approaches. 
D) Harm reduction requires substance users to participate in policy making and program development.

Question 20

According to Health Canada's low-risk alcohol drinking guidelines,which one of the following individuals would be classified as low risk?

Accepted Answer

A) A 22-year-old male who has 15 beers over the course of a week. 
B) A 62-year-old female who has three glasses of wine with her evening meal,every night. 
C) A 39-year-old male who has four beers after work every day during the week and does not consume alcohol on the weekends. 
D) A 19-year-old female who drinks 12 alcoholic cooler beverages on the weekends. 
A) A 22-year-old male who has 15 beers over the course of a week. 
B) A 62-year-old female who has three glasses of wine with her evening meal,every night. 
C) A 39-year-old male who has four beers after work every day during the week and does not consume alcohol on the weekends. 
D) A 19-year-old female who drinks 12 alcoholic cooler beverages on the weekends.

Exam 7: Substance Use in the Context of Health Assessment

Who has the greatest chance of success in a substance misuse treatment program?

It is critical for nurses to remain focused on which one of the following,in relation to substance use?

One of the three action plans in Canada's Anti-Drug Strategy is:

Which following substance is on the decline for use among those aged 15 years and older?

Which of the following statements is false in relation to substance use?

When administering the TWEAK questions as part of the nursing health assessment,which letter in the acronym directs the nurse to ask "Do you sometimes feel the need to cut down on your drinking"?

When beginning the substance use section on a history-taking health assessment,what is the best initial question for the nurse to ask?

Social attitudes toward which one of the following have become increasingly less tolerant in Canada?

Which of the following would the nurse expect to assess in a patient who has just taken heroin via injection?

Which of the following are demonstrating an increase in tobacco use?

Which statement is true in relation to the CAGE questionnaire?

When administering the TWEAK questions as part of the nursing health assessment,which letter in the acronym directs the nurse to ask,"Has a friend or family member ever told you about things you said or did that you could not remember?"

Gender,as a social determinant of health,places women more at risk of substance misuse problems.Which of the following is true in relation to women and substance use?

Which of the following is a symptom of cocaine withdrawal?

Which of the following is a key assumption about substance use that must be challenged?

Approximately how many Canadians aged 15 years and older consume alcohol?

In response to data collection related to the use of needles and illicit substances,a patient has told the nurse that she "shoots up every day" and then asks the nurse why it is important that she know that.The nurse's response is based upon knowledge about which of the following?

Which one of the following is an objective sign of alcohol intoxication?

According to the Canadian Nurses Association,which of the following is a principle of harm reduction?

According to Health Canada's low-risk alcohol drinking guidelines,which one of the following individuals would be classified as low risk?

Critical Thinking and Evidence-Informed Assessment

Health Promotion in the Context of Health Assessment

Cultural Competence: Cultural Care and Social Considerations in Health Assessment

The Interview

The Complete Health History

Mental Health Assessment

Interpersonal Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, measurement, and Vital Signs

Pain Assessment

Nutritional Assessment and Nursing Practice

Skin, hair, and Nails

Head and Neck, including Regional Lymphatic System

Eyes

Ears

Nose, mouth, and Throat

Breasts and Regional Lymphatic System

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Anus,rectum and Prostate

Musculoskeletal System

Neurological System

Male Genitourinary System

Female Genitourinary System

The Complete Health Assessment: Putting It All Together

Bedside Assessment of the Hospitalized Patient

Pregnancy

Functional Assessment of the Older Adult

Filters