Deck 27: Substance Abuse Disorders

Question 1

Which is not a function of the liver?

A) Release of glucose into the circulation via gluconeogenesis
B) Metabolism of carbohydrates, proteins, amino acids, and lipids
C) Production of red blood cells and clotting factors
D) Storing vitamins A, D, K, B₁₂

Answer 1

Release of glucose into the circulation via gluconeogenesis

Question 2

The signs and symptoms of alcohol withdrawal result from

A) Blocking target cells for acetylcholine
B) Blocking target cells for serotonin
C) Inactivation of the inhibitory effect of GABA
D) Depletion of dopamine

Answer 2

Inactivation of the inhibitory effect of GABA

Question 3

Short-term effects of alcohol abuse include all of the following except

A) Hypertension
B) Unintentional injury
C) Sexual promiscuity
D) Violence

Answer 3

Hypertension

Question 4

Scar tissue replaces normal parenchyma of the liver and blocks portal circulation in which condition?

A) Fatty liver disease
B) Hepatitis
C) Cirrhosis
D) Hepatic encephalopathy

Question 5

In hepatic encephalopathy, increased ammonia levels cause increased activity of which neurotransmitter system?

A) Dopamine
B) Epinephrine
C) Norepinephrine
D) GABA

Question 6

When assessing a patient with a substance abuse disorder, the nurse practitioner should take which action first?

A) Determine current intoxication level of the patient
B) Ask the patient about physical comorbidities
C) Examine personal thoughts and potential biases about substance abuse
D) Assess the patient's readiness to acknowledge their condition and accept treatment

Question 7

A patient with a long history of alcohol abuse presents with paralyzed ocular muscles, ataxia, and stupor. Which vitamin deficiency is causing these symptoms?

A) Folate
B) Niacin
C) Thiamine
D) Pyridoxine

Question 8

A jerking movement of the limbs that resolves as the level of consciousness worsens is known as

A) Ataxia
B) Asterixis
C) Ascites
D) Chorea

Question 9

When conducting the puddle test, the nurse practitioner instructs the patient to lie prone for 5 minutes, then move into which position?

A) Supine
B) Semi-Fowler's
C) Hands and knees
D) Lateral recumbent

Question 10

The 5-7-9 rule is used to determine

A) The upper border of the liver by hearing dullness at specified positions
B) The upper border of the liver by hearing tympany at specified positions
C) The lower border of the liver by hearing dullness at specified positions
D) The lower border of the liver by hearing tympany at specified positions

Question 11

Which of the following is a symptom of opioid withdrawal?

A) Excessive sleepiness
B) Miosis
C) Constipation
D) Tachycardia

Question 12

A nonpharmacological management technique used to decrease anxiety in individuals by having individuals confront anxiety-producing situations to decrease their effect is known as

A) Motivational interviewing
B) Community reinforcement approach training
C) Exposure therapy
D) Contingency management

Question 13

Which substance abuse assessment tool may be self-administered?

A) NIDA Drug Use Screening Tool
B) Clinical Institute Withdrawal of Alcohol Scale (CIWA-Ar)
C) Michigan Alcohol Screening Test (MAST)
D) CAGE Assessment

Question 14

Which medication inhibits aldehyde dehydrogenase and causes symptoms similar to a hangover?

A) Buprenorphine
B) Chlordiazepoxide
C) Pyridoxine
D) Disulfiram

Question 15

The APRN should be aware of their state's prescription drug monitoring programs (PDMP)

A) To reference which prescription drugs should be prescribed based on the patient's diagnosis
B) To review the patient's drug prescription history in their state
C) To verify drug interactions before a new prescription is given
D) To see what other prescriptions the patient has been given in other states