Deck 29: Substance Abuse

Question 1

The population health nurse is completing a history on a client who has been referred to a substance abuse clinic. Which client statements indicate a problem with abuse of a psychoactive substance? (Select all that apply.)

A) "I do not have a job."
B) "I cannot get along with people at work."
C) "I have never had a positive drug test."
D) "I am not married."
E) "I have been arrested several times in the last two months."

Answer 1

"I cannot get along with people at work."

Question 2

The population health nurse is teaching a class about substance abuse. A portion of the class discusses the desirable initial effects of some of the substances. Which substances should be cited as producing a euphoric initial effect? (Select all that apply.)

A) Phencyclidine (PCP).
B) Cocaine.
C) Nicotine.
D) Amphetamines.
E) Inhalants.

Answer 2

Cocaine.
Amphetamines.
Inhalants.

Question 3

City council asks the population health nurse to assist with preventing the relapse of substance abuse by community members returning from rehabilitation. What actions should the nurse take to help these community members? (Select all that apply.)

A) Create relapse prevention groups.
B) Alert law officials that community members are being released.
C) Work with community members to identify triggers for drug use.
D) Meet with family members to discuss relapse prevention strategies.
E) Encourage family members to participate in relapse prevention groups.

Answer 3

Create relapse prevention groups.
Work with community members to identify triggers for drug use.
Meet with family members to discuss relapse prevention strategies.
Encourage family members to participate in relapse prevention groups.

Question 4

A mother is concerned that her son is demonstrating some behaviors that place him at risk for substance abuse. Which behavior should the population health nurse explain that contributes to problems of substance abuse?

A) Conformity.
B) Patience with failure.
C) Easily acknowledging feelings.
D) Tolerance of deviant behavior.

Question 5

The population health nurse is planning approaches to help community students cope with substance use. Which approaches should the nurse use to meet this goal? (Select all that apply.)

A) Teach a class on coping strategies.
B) Control access to abusive substances.
C) Educate students on substance use risks.
D) Implement a program for effective coping skills.
E) Discuss incorporating coping strategies into the school curriculum.

Question 6

The community is conducting a series of forums about alcoholism. What information should the forums include?

A) Alcohol use is the tenth leading cause of death in the United States.
B) Ten percent of high school students engage in periodic heavy drinking.
C)5 million deaths worldwide.
D) Almost 1% of the United States population reports binge drinking.
E) Alcohol use contributes to

Question 7

The nurse manager of a community health clinic is designing a process to implement brief interventions when assisting a client to resolve a substance abuse issue. Which components should the nurse include in this process? (Select all that apply.)

A) Provide feedback.
B) Providing options to reduce use.
C) Importance of client responsibility.
D) Use an authoritative counseling style.
E) Focus on self-efficacy when setting goals.

Question 8

The population health nurse is working in a methadone clinic. What type of intervention does this best describe?

A) Health promotion.
B) Health restoration.
C) Illness prevention.
D) Pharmacological intervention therapy.

Question 9

The population health nurse suspects that a community member was facilitated by the health care system to develop substance abuse. What information in the client's history caused the nurse to make this determination?

A) Attending classes to complete a GED.
B) Cancelling routine physical examinations.
C) Employed part time as a food service worker.
D) Receiving prescriptions for opioids to treat back pain.

Question 10

The population health nurse suspects that a client has psychoactive substance dependence. Which assessment made the nurse most suspicious?

A) Decreased tolerance to the substance.
B) Lack of the characteristic withdrawal symptoms.
C) Decreased substance use to decrease withdrawal symptoms.
D) Increased time spent recovering from the effects.

Question 11

The population health nurse suspects that a client is experiencing nicotine withdrawal. What manifestations did the nurse use to make this clinical decision? (Select all that apply.)

A) Anxiety.
B) Nervousness.
C) Disorientation.
D) Increased appetite.
E) Sleep disturbances.

Question 12

An adolescent who has been treated twice in the last three years for substance abuse has been warned by the court that further problems with the law will result in his incarceration. The population health nurse is trying to convince the client's mother to have the adolescent admitted to a local rehabilitative program. Which substance abuse treatment principle is the nurse implementing?

A) Multiple episodes of treatment may be necessary.
B) Medications in conjunction with other behavioral therapies are important to treatment.
C) No single treatment is appropriate for all individuals.
D) Treatment does not need to be voluntary to be effective.

Question 13

While interviewing the spouse of a client who is being treated for substance abuse, the population health nurse suspects codependence exists between the client and the spouse. What characteristic of codependence did the nurse assess?

A) Evidence of high self-esteem.
B) The ability to freely express feelings.
C) Control of others.
D) The ability to stand up for one's own desires.

Question 14

A client is beginning treatment for alcohol abuse. The population health nurse should ensure that the client is instructed on which types of medications used for this treatment? (Select all that apply.)

A) Disulfiram.
B) Naltrexone.
C) Acamprosate.
D) Amitriptyline.
E) Buprenorphine.

Question 15

During an assessment the population health nurse learns that a client is using blue velvet. For which substance should the nurse plan care for this client?

A) Codeine.
B) Demerol.
C) Opium.
D) Cocaine.