Deck 49: Substance Abuse

Question 1

Which of these statements about the 19th Amendment to the U.S.Constitution is TRUE?

A)It made the manufacture and sale of alcohol illegal.
B)It made the use of certain narcotics illegal.
C)It placed a tax on the sale of marijuana.
D)It required accurate labeling of drugs.

Answer 1

It made the manufacture and sale of alcohol illegal.

Question 2

During the past 6 months,a client has gradually withdrawn from friends and family,choosing instead to spend time alone and obtain increasing amounts of cocaine.While the client initially limited drug use to weekends,more frequent "hits" are needed to make it through the week and this involves use at work.This client meets the criteria for:

A)detoxification
B)narcotics anonymous
C)substance abuse
D)substance dependence

Answer 2

substance dependence

Question 3

Which of these statements about marijuana use in the United States is TRUE?

A)Marijuana use has never been legal.
B)Marijuana can be obtained today with a health care provider's prescription.
C)Marijuana could be prescribed legally until 1941.
D)Recreational marijuana use is legal in some states today.

Answer 3

Marijuana could be prescribed legally until 1941.

Question 4

Which of these terms describes the recurrent use of a substance where abstinence does not cause withdrawal symptoms?

A)abuse
B)dependence
C)intoxication
D)tolerance

Question 5

Which population group is unaffected by substance-abuse disorders?

A)female teenagers
B)male professionals,ages 24 to 45
C)older adults
D)none

Question 6

Which of these terms describes the reversible effect on the central nervous system that occurs soon after the use of a substance?

A)abuse
B)intoxication
C)tolerance
D)withdrawal

Question 7

The most advanced stage of alcohol withdrawal,which develops 2 to 3 days after alcohol drinking has stopped and includes symptoms such as disorientation and inability to recognize familiar objects or persons,is called:

A)alcohol withdrawal syndrome
B)delirium tremens
C)detoxification
D)teratogenic effect

Question 8

The nurse is caring for a client experiencing physical elimination of substance abuse from the body.The nurse understands that the client is experiencing:

A)dependence
B)detoxification
C)relapse
D)withdrawal

Question 9

When teaching a client about substance abuse,the nurse would BEST define a substance as:

A)a street drug that is frequently abused
B)a readily obtained drug that compels a person to overdose
C)a homemade concoction that produces desired effects
D)a drug,legal or illegal,that may cause physical or mental impairment

Question 10

When a person tests positive for drugs,what does this indicate?

A)It is evidence of substance abuse.
B)It is evidence of drug addiction.
C)The person uses drugs on a recreational basis.
D)The person has been exposed to the substance.

Question 11

Which of these terms describes a reliance on a substance to such a degree that abstinence causes physical withdrawal symptoms or a psychological craving for the substance?

A)abuse
B)dependence
C)intoxication
D)tolerance

Question 12

According to the Comprehensive Drug Abuse Prevention and Control Act of 1970,a substance with high abuse and dependence potential,accepted medical use,obtainable only with a health care provider's prescription that may not be refilled would be classified as which schedule of controlled substances?

A)I (C-I)
B)II (C-II)
C)IV (C-IV)
D)V (C-V)

Question 13

Primary prevention of substance abuse focuses mainly on which of these groups?

A)school-age children
B)adolescents
C)anyone who is presently using drugs
D)current drug abusers

Question 14

Over a 12-month period,a client has been arrested twice for driving while intoxicated.The client is able to perform activities of daily living (ADLs)without the use of alcohol and restricts drinking to weekend social situations.This client meets the criteria for:

A)alcohol withdrawal syndrome
B)personal bad judgment
C)substance abuse
D)substance dependence

Question 15

After obtaining a urine specimen from a client for drug screening,each person who handles the specimen signs an attached paper until testing is completed.This process is called:

A)chain of custody
B)confabulation
C)Johnsonian intervention
D)personnel tracking

Question 16

When a person makes up information to fill in memory gaps as a result of abusing or depending on alcohol,what term describes this process?

A)confabulation
B)impaired thinking
C)lying
D)moral deterioration

Question 17

What is considered to be the drug of choice for substance abuse?

A)cocaine
B)marijuana
C)alcohol
D)barbiturates

Question 18

The teratogenic effects of alcohol may cause which of these conditions?

A)cirrhosis
B)fetal alcohol syndrome
C)Korsakoff's psychosis
D)Wernicke's encephalopathy

Question 19

The student nurse is aware that alcohol is classified as:

A)an amphetamine
B)a barbiturate
C)a central nervous system (CNS)depressant
D)an opiate

Question 20

Which of these conditions is NOT directly associated with chronic alcohol abuse?

A)esophageal varices
B)jaundice
C)fatty liver
D)pancreatic cancer

Question 21

Which of these phrases BEST describes a Johnsonian intervention?

A)a group therapy session for current alcohol abusers
B)a confrontational approach to encourage treatment for a substance abuser
C)a rehabilitation strategy for maintaining sobriety
D)a technique for overcoming codependency

Question 22

What effect results from taking ecstasy (MDMA)that makes it attractive to adolescents?

A)mood enhancement
B)loss of inhibition
C)amnesia
D)an enhanced sense of pleasure and self-confidence

Question 23

A client undergoing treatment for cocaine addiction is at risk for which of these complications?

A)heart attack
B)relapse
C)stroke
D)suicide

Question 24

Which of these drugs is classified as a central nervous system stimulant?

A)alcohol
B)cocaine
C)barbiturates
D)benzodiazepines

Question 25

What is the potential for psychological addiction to marijuana?

A)virtually nonexistent
B)moderate
C)high
D)depends on the client's age,weight,and ethnic background

Question 26

A nurse has been administering a client's pain medications to herself and providing the client who is cognitively impaired with an aspirin as a substitute.Once discovered,the nurse is referred to the peer assistance program.Which of the following are goals of the program? (Select all that apply. )

A)Provide her with legal advice.
B)Ensure the nurse does not harm clients.
C)Ensure that the facility and coworkers are aware of the problem so they can support her.
D)Revoke the nurse's licensure.
E)Monitor her when she returns to work.
F)Ensure the nurse has medical treatment for the problem.

Question 27

Goals of peer assistance programs to assist nurses impaired by alcohol or other substances include:

A)seeing that the nurse is publicly identified to coworkers
B)reporting the nurse to the state board of nursing
C)finding colleagues to assist the nurse in covering up problems
D)helping the recovering nurse to safely reenter the workforce

Question 28

When assessing the client for adverse reactions that can result from taking MDMA,the nurse should observe for:

A)brain damage and disruptions in temperature and cardiovascular regulation
B)dehydration and central nervous system collapse
C)liver deterioration and psychosis
D)depression and respiratory failure

Question 29

The nurse suspects a client has a substance abuse problem.Which of the following data would support the use? (Select all that apply. )

A)laughing at inappropriate times
B)unkept or inappropriate appearance
C)controlled emotions
D)memory loss
E)insomnia alternating with long periods of sleep
F)consistently punctual

Question 30

During detoxification,an alcoholic client becomes hypoglycemic.Which of these actions should the nurse take FIRST?

A)Administer dextrose.
B)Encourage the client to eat to minimize withdrawal symptoms.
C)Give the client thiamine prior to dextrose administration.
D)Administer oxygen before starting an IV.

Question 31

A learned pattern of behavior and feelings in which a person always tries to meet the needs of others,demand love from others,and manipulate and control the lives of others is known as:

A)addiction
B)behavioral tolerance
C)confabulation
D)codependency

Question 32

When a person has prolonged abuse of opioids,which of these conditions may occur?

A)cirrhosis
B)esophageal varices
C)fecal impaction
D)overdose

Question 33

Which of these drugs when mixed with alcohol is known as the "date rape drug"?

A)Valium
B)Librium
C)Rohypnol
D)Seconal

Question 34

A male client has been using a compound made from testosterone that causes both masculinizing and tissue-building effects to his body.The nurse recognizes that this client is using:

A)anabolic steroids
B)barbiturates
C)hallucinogens
D)opioids

Question 35

When collecting a specimen from a client suspected of substance abuse,the nurse is aware of which of the following? (Select all that apply. )

A)Marijuana may be detected in urine for up to 3 to 30 days.
B)Cocaine may be detected in urine for up to 2 to 3 days.
C)Cocaine may be detected in hair for up to months to years.
D)Alcohol may be detected in urine for up to 3 to 30 days.
E)Methamphetamine may be detected in blood up to 3 to 6 months.
F)Marijuana may be detected in blood for up to 3 to 30 days.

Question 36

An adolescent has been using lysergic acid diethylamide (LSD).The nurse is aware that this drug is classified as:

A)barbiturates
B)hallucinogens
C)steroids
D)opiates

Question 37

Which of these terms describes a complete arching of the body that occurs with seizures after a person takes PCP?

A)confabulation
B)opisthotonos
C)synthesis
D)tonic-clonic seizure