Deck 31: Substance Abuse Disorders

Question 1

A patient asks, "How does Alcoholics Anonymous (AA) work?" Select the nurse's best response.

A) "The goal of AA is for members to learn controlled drinking with the support of a higher power."
B) "An individual is supported by peers while striving for abstinence one day at a time."
C) "You must make a commitment to permanently abstain from alcohol and other drugs."
D) "You will be given a sponsor who will plan your treatment program."

Answer 1

"An individual is supported by peers while striving for abstinence one day at a time."

Question 2

When caring for patients withdrawing from cocaine and amphetamines, the nurse should plan measures recognizing what unique characteristic of this withdrawal process?

A) Physical withdrawal is severe and often fatal.
B) Psychological withdrawal is more severe than physical.
C) Physical and psychological withdrawal are equally severe.
D) Physical withdrawal is a problem only if the individual used injection.

Answer 2

Psychological withdrawal is more severe than physical.

Question 3

The nurse assesses a patient who admits to abusing large quantities of amphetamines.Assessment findings are likely to be similar to which psychiatric disorder?

A) Wernicke-Korsakoff syndrome
B) Bipolar disorder, manic phase
C) Generalized anxiety disorder
D) Paranoid schizophrenia

Answer 3

Paranoid schizophrenia

Question 4

Family members of an individual undergoing a 30-day alcohol rehabilitation program ask, "How can we help?" Select the nurse's best response.

A) "Alcoholism is a lifelong disease.Relapses are expected."
B) "Use search-and-destroy tactics to keep the home alcohol free."
C) "Prevent embarrassment by covering for your loved one's lapses."
D) "Make your loved one responsible for the consequences of his or her behavior."

Question 5

The nurse should assure that the milieu for a patient admitted for a hallucinogen overdose should have which features? (Select all that apply.)

A) Focused attention on safety
B) Well lighted
C) Social interaction
D) Mentally challenging
E) Low sensory stimuli

Question 6

How is a blackout is described?

A) A comatose period related to alcohol withdrawal.
B) A comatose episode associated with alcohol intoxication and poisoning.
C) A time period in which a person who has used alcohol is unresponsive to the environment.
D) An episode in which a person under the influence of alcohol functions normally but later is unable to remember.

Question 7

An unconscious patient is brought to the emergency department with a suspected heroin overdose.Which vital signs support the suspected diagnosis?

A) Blood pressure (BP) 200/100 mm Hg; pulse (P) 92 beats/min; respirations (R) 22 breaths/min
B) BP 150/85 mm Hg; P 76 beats/min; R 28 breaths/min
C) BP 110/70 mm Hg; P 84 beats/min; R 20 breaths/min
D) BP 70/40 mm Hg; P 100 beats/min; R 10 breaths/min

Question 8

An individual experiencing a heroin overdose has been given one dose of naloxone intravenously.What the priority nursing intervention is to assure patient safety?

A) Close observation to determine the need for an additional dose of naloxone
B) Seizure precautions for 2 hours immediately after administration of naloxone
C) Acidification of urine by encouraging the patient to drink cranberry juice
D) A nonstimulating environment and administration of oral fluids

Question 9

A patient has a history of alcohol abuse.Which prescription drug would cause the nurse to be most concerned about of its risk for cross-dependency?

A) Hydrochlorothiazide
B) Benztropine
C) Chlordiazepoxide
D) Olanzapine

Question 10

Which assessment findings would prompt the nurse to suspect a disulfiram reaction?

A) Skin rash, itching, and urticaria
B) Pallor, hypotension, and muscle cramping
C) Dry skin, bradycardia, fatigue, and headache
D) Headache, dyspnea, nausea, vomiting, and flushing

Question 11

Which assessment findings support a nurse's suspicion that a patient has possibly been abusing inhalants? (Select all that apply.)

A) Perforated nasal septum
B) Hypertension
C) Pinpoint pupils
D) Confusion
E) Ataxia

Question 12

Loneliness, related to unacceptable interpersonal behaviors is the nursing diagnosis for a patient in an alcohol rehabilitation program.Which AA step is most directly related to this problem?

A) Admitted powerlessness over alcohol
B) Turned our lives over to a higher power
C) Made amends to persons we had harmed
D) Tried to carry the AA principles to alcoholics

Question 13

A nurse caring for a patient who experienced an opioid overdose will give priority to which focused assessment?

A) Cardiovascular
B) Respiratory
C) Neurologic
D) Hepatic

Question 14

A patient in the emergency department says, "I took a drug that makes me feel like I'm outside my body looking at the world while making colors move like music." What question should the nurse ask to assess for the possible cause of the patient's experience?

A) "Have you ever been diagnosed with schizophreniform disorder?"
B) "Did you knowly ingest a hallucinogenic substance?"
C) "Are you currently taking an antidepressant?"
D) "Have you ever experienced anything like this before?"

Question 15

A cocaine abuser complains, "There are bugs crawling under my skin." Which term should the nurse use to document this finding?

A) Confabulation
B) Formication
C) Synesthesia
D) Euphoria

Question 16

A pregnant patient experiencing insomnia reports taking diazepam and wine in increasing amounts to be able to sleep.The nurse should teach the patient about what risk associated with this habit?

A) Central nervous system (CNS) depression
B) Acetaldehyde toxicity
C) Fetal alcohol syndrome
D) Miscarriage

Question 17

A patient diagnosed with Wernicke-Korsakoff syndrome has the nursing diagnosis impaired memory, related to neurotoxicity of alcohol.Which statement made by the patient confirms the presences of a defining characteristic that applies to this diagnosis?

A) "I sometimes make up a story to cover up for something I can't remember."
B) "I often hear voices that others claim they don't hear."
C) "All of a sudden, I'll have a vivid memory of the accident that killed my son."
D) "Regardless of what you say, I know that the mob or CIA is out to kill me."

Question 18

During the rehabilitation phase of alcoholism treatment, naltrexone is prescribed.Which statement by the client demonstrates that the medication is achieving.It's intented goal to reduce the pleasurable effects of drinking alcohol.The nurse can expect to teach the patient about what medication?

A) "I sleep much better than I have in years."
B) "I get really sick if I drink now."
C) "I'm not as nervous as I was."
D) "I don't crave alcohol like I did."

Question 19

What are the most important interventions for the nurse to implement with caring for a client experiencing barbiturate withdrawal? (Select all that apply.)

A) Monitoring level of consciousness
B) Supporting effective respirations
C) Medicating for nausea
D) Monitoring for tachycardia
E) Seizure precautions

Question 20

The nurse suspect that a patient has developed a tolerance for alcohol.Which patient statement supports that suspicion? says, The nurse assesses this phenomenon as related to:

A) "I felt good from drinking a six-pack a few months ago.Now I need a few extra cans to get the same high."
B) withdrawal.
C) co-dependency.
D) abstinence syndrome.

Question 21

Naltrexone is prescribed for a patient diagnosed with alcohol dependency.What information should the nurse provide to the patient? (Select all that apply.)

A) "This medication is part of a total program to help you remain abstinent from alcohol."
B) "Do not use alcohol-containing products, such as aftershave lotion and mouthwash."
C) "Avoid foods that contain tyramine, such as aged cheeses and meats."
D) "This medication will help reduce the likelihood of a relapse."
E) "This medication will eliminate your desire for alcohol."

Question 22

How is substance dependence best defined? (Select all that apply.)

A) A compulsion to use a substance
B) Loss of control over use of a substance
C) A physiological need to use a substance
D) Continued use of a substance despite adverse consequences
E) A substance-specific syndrome due to recent ingestion of a substance

Question 23

Which statements accurately portray differences in the effects of alcohol between men and women? (Select all that apply.)

A) Women's gastrointestinal systems have less alcohol dehydrogenase, so less ethanol is oxidized on first pass before it enters the bloodstream.
B) Hot coffee increases the metabolic rate and speeds oxidation of ethanol more in men than in women.
C) Women have higher proportions of body fat, which absorbs alcohol and releases it slowly.
D) The microsomal ethanol-oxidizing system in women is less efficient than in men.
E) Women become intoxicated more easily than men.

Question 24

A patient is about to begin detox for an opioid addiction.Which statements by the patient demonstrate an understanding of the signs/symptoms of the withdrawal process? (Select all that apply.)

A) "I've been told to expect to be constipated."
B) "My nose is going to run like I have a bad cold."
C) "My legs are going to spasm painfully."
D) "I'll have erection issues for several weeks."
E) I'm going to have goose bumps from the chills."