Deck 25: Substance Use Disorders

Question 1

What is one approach to coping that is used by many families who have a family member addicted to drugs or alcohol?

A)The family does not function but disintegrates.
B)The family functions around the ill person.
C)The family reorganizes,excluding the ill person from the family.
D)The family tries desperately to function exactly as before.

Answer 1

The family reorganizes,excluding the ill person from the family.

Question 2

Which of the following is an example of a host factor in addiction?

A)Community norms
B)Economic deprivation
C)Free drinks at parties
D)Genetic predisposition

Answer 2

Genetic predisposition

Question 3

Which aggregate is most at risk for alcohol and drug abuse?

A)Elderly persons (aged 65 and older)
B)Middle-aged persons (aged 20 to 64 years)
C)Teenagers (aged 12 to 17 years)
D)Young adults (aged 18 to 25 years)

Answer 3

Young adults (aged 18 to 25 years)

Question 4

A 19-year-old college student was smoking a cigarette and drinking a cup of coffee.What effect would he expect these substances to have on how he is feeling?

A)Euphoria,with decreased fear and anxiety,and ready for a nap
B)Immunity from pain,anxiety,or fear,and ready for an intimate encounter
C)Ostracism because no one appreciates being very close to a smoker
D)Relaxation,alertness,and readiness to study for his examinations

Question 5

Who is the primary focus of community efforts in relation to substance abuse?

A)Elderly persons
B)Children and adolescents
C)Middle-aged persons,especially women
D)Young adults

Question 6

What is the relationship between tobacco use and educational level?

A)Those who attend college likely used tobacco as adolescents and will continue use.
B)The higher the person's educational level,the more likely that person is to be able to afford and use tobacco.
C)The higher the person's educational level,the less likely that person is to use tobacco.
D)There is no relationship between educational level and tobacco use.

Question 7

Which of the following has been identified as one of the major treatment barriers for persons with a substance abuse disorder?

A)Fear
B)Availability
C)Stigma
D)Access

Question 8

Which of the following statements about persons experiencing a comorbidity is accurate?

A)Through careful questioning,it is possible to distinguish which problems are caused by which diagnosis.
B)Drug abuse may bring about symptoms of another mental illness.
C)The comorbid condition usually involves the diagnosis of a chronic disease and substance abuse.
D)Persons with diagnosed personality disorders have a lower incidence of substance use disorders.

Question 9

Which of the following clients demonstrates the characteristics of addiction?

A)A client who uses substances despite serving jail time for previous use
B)A client who demonstrates evidence of tolerance and symptoms if substance is decreased
C)A client who reports experiencing loss of control when using substances
D)A client who uses substances to feel good or at least avoid feeling bad

Question 10

What is the most commonly abused illicit (illegal)substance?

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

Question 11

A nurse states that a client is experiencing dependency.Which of the following reasons for drug use has the client probably reported?

A)To express independence from parents and authority figures
B)To experiment with new substances
C)To manipulate his or her own emotions
D)To feel normal

Question 12

Which of the following statements is the best description of the gateway theory of drug use?

A)"Adolescents begin experimenting with alcohol and progress to marijuana use."
B)"Addiction is a disease of the brain."
C)"Adolescents begin with occasional use,and it gradually becomes a regular occurrence."
D)"Addiction occurs before conscious awareness."

Question 13

Which of the following interventions would a community/public health nurse implement as a primary strategy to prevent drug and alcohol abuse?

A)Referring alcoholic persons and their families into support groups
B)Providing coping skills and antidrug education to school-aged children
C)Refusing to consume alcohol when in public
D)Counseling children from families who have a history of alcoholism

Question 14

A 15-year-old high school junior girl drank alcohol constantly.Which of the following would be a personal host factor?

A)Her own alienation and rebelliousness
B)High expectations for success from family and friends
C)Inconsistent or absent parental discipline,supervision,and support
D)Parents who are against the consumption of liquor

Question 15

A nurse is counseling the wife of a substance abuser,who states that she may be co-dependent.Which of the following behaviors would most likely be reported?

A)Limiting the harmful consequences of the user's behavior
B)Helping the user obtain the substance needed
C)Establishing trust with the user in the family
D)Referring the user to a treatment program

Question 16

A mother defensively said,"I consumed alcohol while I was pregnant with my baby,and except for being small,she is okay." What characteristics would the nurse expect the infant to exhibit when grown?

A)Hyperactivity
B)Suffering consequences of child abuse
C)Learning disabilities
D)Rapid mood changes

Question 17

Which of the following is an example of an environmental factor in addiction?

A)Cultural expectations around celebrations
B)Ethnic group endowment
C)Genetic predisposition
D)Psychological trauma early in life

Question 18

Which of the following is a sign of drug use in the workplace?

A)Improved reactions
B)Irritability
C)Improved productivity
D)Nervousness

Question 19

As of 2011,what is the federal government's priority in addressing substance abuse?

A)Treatment of substance abuse
B)Prevention of substance abuse
C)Law enforcement to reduce supply of available drugs
D)Research about how to successfully decrease the use of drugs

Question 20

How is substance abuse defined?

A)Evidence of tolerance and symptoms if use of the substance is decreased
B)Experiencing loss of control over use of the substance
C)Using substances with recurrent and significant adverse consequences
D)Using substances to feel good or avoid feeling bad

Question 21

What is the easiest way for a nurse to screen for persons who have or are at risk for developing alcohol- or drug-related problems?

A)A laboratory test,which,although somewhat expensive,is very accurate
B)Having teachers watch for inappropriate,inebriated behaviors in the classroom
C)Paper-and-pencil tests concerning self-report of personal habits
D)Testing a hair sample,which is nonintrusive and relatively inexpensive

Question 22

In addition to fellowship,what do self-help groups such as Alcoholics Anonymous provide for the alcoholic?

A)Constructive,effective suggestions for living without the alcohol
B)Encouragement for a slow withdrawal from alcohol to prevent withdrawal symptoms and desperate action
C)Referrals to attorneys who are willing to assist with financial and legal problems without reimbursement
D)Referrals to mental health centers in which hospitalization is always an option

Question 23

A man had been attending Alcoholics Anonymous (AA)meetings.Following an argument with his former wife over appropriate child care arrangements and need for financial support,he stopped by his favorite tavern.On the basis of what he had been taught at AA,what should he conclude?

A)He had made a horrible mistake and inpatient therapy was now his only option.
B)He needs to see a therapist to understand why,when he had been doing so well,he voluntarily entered that tavern.
C)He was a miserable failure doomed to be an alcoholic forever.
D)Relapses are common in early recovery;he should go back to AA and try again.

Question 24

Which of the following clients demonstrates symptoms that would lead to a diagnosis of dependence?

A)Involvement in an auto accident in association with using substances while driving
B)Consumption of the substance on a regular basis,withdrawal symptoms when the substance is not used,and failure to successfully complete a treatment program
C)Inability to function appropriately and unsuccessful attempts to cut down or control use
D)Tolerance of the substance,presence of withdrawal symptoms,and continuation of use despite recurrent physical problems

Question 25

Which of the following characteristics is most likely experienced by children of impaired parents? (Select all that apply.)

A)Disorders of impaired attention
B)Social inadequacy
C)Difficulty with authority figures
D)Increased self-esteem
E)Decreased sense of responsibility
F)Increased risk of exposure to domestic violence

Question 26

A man was trying to avoid drinking.In addition to attending Alcoholics Anonymous meetings,what might his sponsor suggest he do?

A)Eat more,so his stomach would be too full for a drink.
B)Smoke whenever he felt the need for a drink.
C)Try to persuade his drinking buddies to join him in abstaining.
D)Walk home along a different route rather than his former route by the bar.

Question 27

In addition to getting the alcoholic adult into treatment,what is the most useful intervention the nurse can implement with the family?

A)Clarifying that the family members must begin to meet their own needs
B)Helping the family adapt to daily life without the family member
C)Encouraging the family to limit contact with the family member while in treatment
D)Sharing information about support groups such as Al-Anon or Alateen

Question 28

What intervention is considered the most effective approach for getting an addict into treatment?

A)Arranging a planned confrontation from people with leverage
B)Taking the addict to the emergency department for a psychiatric admission
C)Calling the police and having the addict taken to jail
D)Waiting until the addict recognizes the need for treatment