Deck 27: Substance Abuse

Question 1

Which is the most commonly used illegal mood-altering substance?

A)Cocaine or crack ecstasy
B)Heroin
C)Marijuana
D)Methamphetamine or speed

Answer 1

Marijuana

Question 2

Which best explains what experts believe is the causative factor in the decline in total alcohol consumption?

A)Americans prefer less dangerous mood-altering substances
B)Increased "sin" taxes on alcohol and tobacco nationwide
C)Less social tolerance and no-drinking-while-driving campaigns
D)So many movies about teenaged drinking make alcohol look adolescent

Answer 2

Less social tolerance and no-drinking-while-driving campaigns

Question 3

From who is a person aged 12 or older most likely to obtain pain relievers for nonmedical use?

A)Free from a friend or relative
B)Purchased from a friend or relative
C)Through a prescription from a physician
D)Purchased on the Internet

Answer 3

Free from a friend or relative

Question 4

Which trend in illicit drug use is being seen among adults over age 50?

A)The rate of illicit drug use increased until 2011 but has shown a recent decline
B)The rate of illicit drug use has remained stable for the past several years
C)The rate of illicit drug use is increasing
D)The rate of illicit drug use is decreasing.

Question 5

Which best explains why anyone would ever experiment with an illegal substance?

A)As a way of rebelling against parental authority
B)Because it is forbidden
C)For the thrill of it-without getting caught
D)Friends are encouraging it

Question 6

Which is the treatment of choice for treating heroin addicts during withdrawal?

A)Acamprosate
B)Benzodiazepines
C)Methadone
D)Naltrexone

Question 7

In which way is methamphetamine different from and more dangerous than other mood-altering substances?

A)The drug itself is highly combustible,so both makers and users have suffered severe burns when injecting it
B)Methamphetamine helps users become more productive and energetic,so people find it helpful at work and home and want to continue using it
C)It provides more pleasurable effects more quickly than other mood-altering drugs,so persons become addicted more quickly
D)Severe neurological changes occur in the brain very quickly,often even with the first dose.

Question 8

Which best explains why drug abusers so often relapse?

A)Drugs are widely available
B)They lack a supportive environment
C)They remember how fantastic they feel immediately after using
D)Drugs make them feel better about life.

Question 9

Which best explains why experts are now distinguishing between use and misuse?

A)It is easier to discuss use than to accuse persons of being drug addicts
B)Expansion of drug treatment programs has prevented some people from becoming totally addicted
C)Persons using prescription drugs are "users," not "misusers."
D)Some persons may use drugs and not become dependent on them.

Question 10

Which best explains why most states have the legal drinking age set at 21 years old?

A)At 21 years of age,most Americans consider a person an adult
B)College is completed,and employment has begun by 21 years of age
C)Most 21-year-olds are self-supporting and no longer dependent on parents
D)The alcohol-related death rate rose alarmingly when drinking age was lowered to 18 years.

Question 11

Which age group has the highest prevalence of binge drinking and heavy drinking?

A)Adults aged 45 to 65 years
B)Adult business persons,aged 25 to 45 years
C)Both genders of depressed elderly,aged 65 years and up
D)Young adults aged 18 to 25 years

Question 12

Which drug is being widely manufactured within the United States?

A)Cocaine
B)Heroin
C)Marijuana
D)Methamphetamine

Question 13

Which legislation has increased funding for treatment and rehabilitation for substance abuse?

A)Drug Abuse Prevention and Control Act
B)Anti-Drug Abuse Acts of 1986 and 1988
C)Omnibus Transportation Employee Testing Act
D)Harrison Narcotic Act of 1914

Question 14

Which is crucial during the detoxification phase of the addiction process?

A)Controlling the environment,so drugs cannot be obtained
B)Maintaining a therapeutic relationship with the client
C)Maintaining communication with the client's family
D)Managing the acute withdrawal symptoms

Question 15

Which mood-altering substances are considered acceptable to use by current Western society?

A)Alcohol
B)Amphetamines
C)Barbiturates
D)Nicotine

Question 16

A woman was bragging about her 12-year-old son who was quiet and spent a lot of his time in his room building model airplanes,and gluing and painting pieces.Which may be concerning to the nurse?

A)Being preadolescent,he needs education on sexual growth and development
B)He may be inhaling fumes from the aerosol paints and glues
C)Twelve-year-olds are not usually quiet; he needs a mental health consult
D)Twelve-year-olds need physical exercise,and he is not getting any sitting around.

Question 17

A female student was extremely upset over her test results.She thought she had studied thoroughly,but her test grade would be totally unacceptable to her parents.Her friend said,"Come on,it's just the first course test.You'll do better on the next one.Let's go out and have a drink.You'll feel much better." After the first drink,how will the upset student most likely feel?

A)A bit nauseous
B)More relaxed and comfortable
C)Ready to have a second
D)Very thirsty

Question 18

A man had managed not to drink for over 2 years,but today,when he was told his position was being eliminated,he drank himself into a stupor.Which approach should the nurse take with this client?

A)Admit the man is an alcoholic and always will be
B)Consider the relapse a learning opportunity and discuss options for coping with problems
C)Have him arrested for disorderly conduct in the hope that jail will get his attention and scare him into avoiding future use
D)Suggest inpatient treatment,where he will not be able to access alcohol

Question 19

Which best describes why it is crucial to never use the label of "addiction"?

A)Labeling invites ridicule by other people
B)Labeling someone avoids actually taking action to correct the behavior
C)Labels have a tendency to remain throughout the person's life
D)Labels influence self-perception,and behavior will begin to fulfill the label.

Question 20

Which preventable health problem is the cause of more deaths,illnesses,and disabilities than any other?

A)Use of tobacco
B)Obesity
C)Sexually transmitted diseases (STDs)
D)Substance abuse

Question 21

After his family and employer confronted a man with all the problems his drinking was causing,he agreed to go into treatment.However,the wife asks,"But if we are forcing him to go into treatment,won't he just resent us and keep on drinking?" Which would be the most appropriate response by the nurse?

A)"He may resent you,but the relationship between the two of you was being ruined by his drinking anyway."
B)"Isn't this better until waiting until he has lost his job and you're forced to seek a divorce?"
C)"Treatment can still be effective,even if you're forcing him into it."
D)"You're right; it's harder to treat the problem when the person is being forced into treatment,but what choice did you have?"

Question 22

Which is the drug of choice for treating persons with alcohol withdrawal?

A)Antabuse
B)Benzodiazepines
C)Methadone
D)Naltrexone

Question 23

Which are basic components of 12-step programs to help treat addictive behaviors such as alcoholism? (Select all that apply.)

A)A willingness to change
B)Attempts to make amends for wrongs done to others
C)Daily attendance at a self-support group meeting
D)Open recognition of weaknesses and request for help from others
E)Public explanation of sins and future plans for resisting temptation
F)Recognition of personal strengths and weaknesses

Question 24

A 14-year-old girl came with her family to the clinic as her father picked up his medication.The girl became anxious and said she had to go home soon to clean the house and start dinner.Which would the nurse most likely suspect from this interaction?

A)As Freud pointed out,girls try to take over the wife role with their dad
B)The girl did not want to admit her dad was a drug addict and was trying to get away from an uncomfortable environment
C)The girl is taking on the role of hero with responsibility for caretaking functions
D)The girl was afraid she would be seen with her dad,a known drug addict,in a public place.

Question 25

"I don't understand," the woman said."It's my husband who is the alcoholic,not me.Why are you asking me to get involved in his treatment?" Which is the most appropriate response by the nurse?

A)"You are codependent.You will need to learn how to function independently."
B)"You are an enabler covering up for your husband,and you have to learn how not to do that."
C)"You are as ill as he is,just in a different way.You also need treatment."
D)"You have been hurt by his drinking; you will need support as you try to help your husband stop drinking."

Question 26

Which best explains why health professionals and educators are stressing total abstinence of drugs instead of teaching appropriate social use?

A)Federal funds are available to schools if abstinence is stressed
B)If students perceive a drug as harmful,fewer actually try it
C)It is easier to avoid a substance altogether than to try to control the dose
D)This education is consistent with our American culture.

Question 27

A young teenager was habitually engaging in binge drinking with friends on weekends.Which would be a long-term concern of this behavior?

A)He might have to drive to get together with them and then drive home after drinking
B)Legal drug use almost always precedes use of illegal drugs
C)Obesity is a major health problem,and alcohol is very high in calories
D)The teenager's parents are obviously a dysfunctional family.

Question 28

Which way(s)can physicians enable drug abuse? (Select all that apply.)

A)Prescribing psychoactive medications to a new patient who was claiming anxiety and insomnia
B)Prescribing psychoactive medications to make a patient feel better during a time of situational stress
C)Prescribing nonrefillable small doses of psychoactive medications in response to short-term problems
D)Refusing to prescribe psychoactive medications even if the patient has severe pain so the patient must seek self-medication with illegal substances or alcohol
E)Suggesting psychoactive medications for pain relief after surgical treatment
F)With drugs so available,the physician can use drugs for a temporary problem; feeling relief may lead to self-addiction.

Question 29

A client has refused to stop drinking alcohol.Which action should be taken by the nurse?

A)Ask a physician to admit the patient to the acute care hospital
B)Attempt harm reduction to help the client reduce drinking
C)Cease giving care because the client is totally noncompliant
D)Seek to have the patient admitted as a mental health client.

Question 30

A client has recently been diagnosed with a substance use disorder.Which criteria would be used to diagnose a client with this disorder? (Select all that apply.)

A)Withdrawal symptoms
B)Tolerance of the substance
C)Social problems related to use of the substance
D)Experimentation with new substances
E)Repeated attempts to control use of the substance without success
F)Neglect of major roles in order to use the substance

Question 31

A registered nurse is discovered stealing a patient's narcotic medication for personal use.Which is most likely to happen to the nurse?

A)The nurse can be sued by the patient for pain and suffering (because the patient did not get the medication prescribed)
B)The nurse who shows acceptance of a drug problem may be allowed limited practice under supervision while undergoing treatment and monitoring
C)The nurse will go to jail like any criminal caught stealing
D)The nurse will lose employment,as well as the license allowing professional practice.

Question 32

A man was told by his boss that his work had really gone downhill recently and he had to improve or the boss would have to let him go.His wife had moved out of the apartment.Obviously,the drug use was causing problems.Which would cause the man to continue to use? (Select all that apply.)

A)He had paid a lot for this stuff so he had just finished using what he had and then he had quit
B)He rationalized he was just hitting a rough spot and,as soon as he got over his wife's betrayal,he would quit using and his job would be fine
C)He tried to quit,but the withdrawal symptoms were so severe he could not
D)He verbalized quitting,but his new friends scoffed at him
E)His boss clearly did not understand what he was dealing with and had not a clue what pressure he was under-so ignoring him was the only option
F)He knew drug use made him legally handicapped so his boss could not fire him even if he wanted to.

Question 33

Which behavior is a warning that a person is no longer just using a drug's recreationally but is abusing drugs and becoming addicted?

A)The person decides to try a new drug,claiming to be curious
B)The person is using the drug more frequently than before
C)The person joins a friend in using drugs in a social situation
D)The person is less able to control frequency and amount of indulging.

Question 34

An African American male was addicted to drugs,received treatment,and now needs to resist abusing drugs again.Which barriers exist for this individual? (Select all that apply.)

A)Being arrested when caught rather than receiving treatment
B)Difficulty obtaining employment
C)Easy access to illegal drugs in the community
D)Economic rewards for selling or distributing drugs to others
E)Family demands,including children being physically active and noisy
F)Pressure from drug-using friends to join them in social events

Question 35

A family was dependent on the dad for financial support,and now he is in treatment for alcoholism.The wife asks you how long this will take.Which would be the most appropriate response by the nurse?

A)"Don't worry about length of time.Focus on helping him avoid alcohol."
B)"It all depends on how badly he wants to hold the family together as opposed to enjoying the relief of drinking again."
C)"Once an alcoholic,always an alcoholic.He'll have to avoid liquor the rest of his life."
D)"Remaining in treatment is crucial; it must last long enough to produce stable behavioral changes."

Question 36

A nurse plans to implement interventions at the community level to address substance use disorders.Which interventions would the nurse likely implement? (Select all that apply.)

A)Support law enforcement measures to limit access to and distribution of addictive substances (e.g.,street drugs)
B)Provide educational programs at schools and penal institutions
C)Facilitate mutual help groups (e.g.,Alcoholics Anonymous,Narcotics Anonymous,Cocaine Anonymous,Al-Anon)
D)Support the development of specialty courts/problem-solving courts (drug courts,veteran courts)
E)Create radio public service communications concerning the risks of substance abuse and the availability of treatment
F)Assist in the formation of national associations such as the National Council on Alcoholism and Drug Dependence

Question 37

Which best explains what children of alcoholics do when they become adults with families?

A)They do not touch alcohol because they know the problems it brings
B)They do not use alcohol but may use other drugs
C)They manage to use alcohol in social situations but not otherwise
D)They themselves are at high risk for becoming alcoholics.

Question 38

Which best describes a professional enabler?

A)A spouse who has been enabling an abuser for several years
B)A physician who provides narcotic analgesics to patients on a regular basis
C)A clergyman who offers to take an abuser to an Alcoholics Anonymous meeting
D)A child who is a caretaker for her substance abusing mother