Question 1

Select the priority nursing intervention when caring for a patient after an overdose of amphetamines.

Accepted Answer

A)  Monitor vital signs. 
B)  Observe for depression. 
C)  Awaken the patient every 15 minutes. 
D)  Use warmers to maintain body temperature.

Question 2

A patient asks for information about Alcoholics Anonymous.Select the nurse's best response."Alcoholics Anonymous is a:

Accepted Answer

A)  form of group therapy led by a psychiatrist." 
B)  self-help group for which the goal is sobriety." 
C)  group that learns about drinking from a group leader." 
D)  network that advocates strong punishment for drunk drivers."

Question 3

A patient has smoked two packs of cigarettes daily for many years.When the patient tries to reduce smoking,anxiety,craving,poor concentration,and headache occur.This scenario describes:

Accepted Answer

A)  cross-tolerance. 
B)  substance abuse. 
C)  substance addiction. 
D)  substance intoxication.

Question 4

A patient with an antisocial personality disorder was treated several times for substance abuse,but each time the patient relapsed.Which treatment approach is most appropriate?

Accepted Answer

A)  1-week detoxification program 
B)  Long-term outpatient therapy 
C)  12-step self-help program 
D)  Residential program

Question 5

A nurse wants to research epidemiology,assessment techniques,and best practices regarding persons with addictions.Which resource will provide the most comprehensive information?

Accepted Answer

A)  Substance Abuse and Mental Health Services Administration (SAMHS
A)  
B)  Institute of Medicine - National Research Council (IOM) 
C)  National Council of State Boards of Nursing (NCSBN) 
D)  American Society of Addictions Medicine

Question 6

A hospitalized patient diagnosed with an alcohol abuse disorder believes the window blinds are snakes trying to get in the room.The patient is anxious,agitated,and diaphoretic.The nurse can anticipate the health care provider will prescribe a(n):

Accepted Answer

A)  narcotic analgesic, such as hydromorphone (Dilaudid). 
B)  sedative, such as lorazepam (Ativan) or chlordiazepoxide (Librium). 
C)  antipsychotic, such as olanzapine (Zyprexa) or thioridazine (Mellaril). 
D)  monoamine oxidase inhibitor antidepressant, such as phenelzine (Nardil).

Question 7

A nurse cares for a patient diagnosed with an opioid overdose.Which focused assessment has the highest priority?

Accepted Answer

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

Question 8

Select the most therapeutic manner for a nurse working with a patient beginning treatment for alcohol addiction.

Accepted Answer

A)  Empathetic, supportive 
B)  Skeptical, guarded 
C)  Cool, distant 
D)  Confrontational

Question 9

When a patient first began using alcohol,two drinks produced relaxation and drowsiness.After 1 year,four drinks are needed to achieve the same response.Why has this change occurred?

Accepted Answer

A)  Tolerance has developed. 
B)  Antagonistic effects are evident. 
C)  Metabolism of the alcohol is now delayed. 
D)  Pharmacokinetics of the alcohol have changed.

Question 10

Which goal for treatment of alcoholism should the nurse address first?

Accepted Answer

A)  Learn about addiction and recovery. 
B)  Develop alternate coping strategies. 
C)  Develop a peer support system. 
D)  Achieve physiologic stability.

Question 11

At a meeting for family members of alcoholics,a spouse says,"I did everything I could to help.I even requested sick leave when my partner was too drunk to go to work." The nurse assesses these comments as:

Accepted Answer

A)  codependence. 
B)  assertiveness. 
C)  role reversal. 
D)  homeostasis.

Question 12

A hospitalized patient diagnosed with an alcohol abuse disorder believes spiders are spinning entrapping webs in the room.The patient is fearful,agitated,and diaphoretic.Which nursing intervention is indicated?

Accepted Answer

A)  Check the patient every 15 minutes 
B)  One-on-one supervision 
C)  Keep the room dimly lit 
D)  Force fluids

Question 13

The treatment team discusses the plan of care for a patient diagnosed with schizophrenia and daily cannabis abuse who is having increased hallucinations and delusions.To plan effective treatment,the team should:

Accepted Answer

A)  provide long-term care for the patient in a residential facility. 
B)  withdraw the patient from cannabis, then treat the schizophrenia. 
C)  consider each diagnosis primary and provide simultaneous treatment. 
D)  first treat the schizophrenia, then establish goals for substance abuse treatment.

Question 14

Symptoms of withdrawal from opioids for which the nurse should assess include:

Accepted Answer

A)  dilated pupils, tachycardia, elevated blood pressure, and elation. 
B)  nausea, vomiting, diaphoresis, anxiety, and hyperreflexia. 
C)  mood lability, incoordination, fever, and drowsiness. 
D)  excessive eating, constipation, and headache.

Question 15

An adult in the emergency department states,"Everything I see appears to be waving.I am outside my body looking at myself.I think I'm losing my mind." Vital signs are slightly elevated.The nurse should suspect:

Accepted Answer

A)  a schizophrenic episode. 
B)  hallucinogen ingestion. 
C)  opium intoxication. 
D)  cocaine overdose.

Exam 22: Substance Related and Addictive Disorders