Question 1

A substance use disorder (SUD)is a likely comorbid mental illness in which patient?

Accepted Answer

A)  The soldier diagnosed with posttraumatic stress disorder 
B)  The teenager demonstrating symptoms of poor impulse control 
C)  The older adult diagnosed with early stage Alzheimer's disease 
D)  The new mother exhibiting symptoms of postpartum depression

Question 2

When asked,"What causes alcoholism?" the nurse's response will be based on the fact that:

Accepted Answer

A)  The response to alcohol is a result of a brain-based disorder. 
B)  Alcoholism is believed to be an allergic response to the alcohol. 
C)  Every individual has the same susceptibility for developing alcoholism. 
D)  It is a physical response to alcohol but it's etiology is not fully understood.

Question 3

Which patient response would support the conclusion that the patient has moved into the 'dark side' of a narcotic addition?

Accepted Answer

A)  "I've been abusing drugs for at least 10 years." 
B)  "Drugs makes me feel good; that why I use them." 
C)  "I don't like the way I feel when I don't use drugs." 
D)  "Drugs are something that I can either take or leave"

Question 4

Which factor has the greatest negative impact on the use of laboratory serum alcohol results in determining legal intoxication?

Accepted Answer

A)  The variable time it takes to metabolize alcohol in the body 
B)  States differs greatly in their definitions of legal intoxication 
C)  Legal issues with securing consent for the test from an impaired patient 
D)  The relatively short period of time alcohol can be detected in the blood

Question 5

Which behaviors would demonstrate a strong possibility for successful rehabilitation for a patient with a substance abuse-related diagnosis? Select all that apply.

Accepted Answer

A)  States that, "I promise I'll never use drugs again." 
B)  Has shown ability to use effective coping mechanisms 
C)  Expresses an understanding of the severity of their addiction 
D)  Plans to associate with old friends "only when they aren't drinking" 
E)  Demonstrates an interest in staying involved in an appropriate support group

Question 6

A teen says to the school nurse,"Huffing is harmless.There are no reasons not to sniff inhalants." The nurse can reply knowing that (select all that apply):

Accepted Answer

A)  Such behavior can result in irreversible hearing impairment. 
B)  There has been minimal research done on the effects in teens. 
C)  Long-term use can result in poor short- and long-term memory. 
D)  Irreversible kidney damage is often observed with even casual use. 
E)  Research indicates both central nervous system and bone marrow damage.

Question 7

A patient's wife has chronic alcoholism,and the husband is concerned about the possibility that their children may develop the disease.He asks the nurse what the risk is.The nurse's best response is:

Accepted Answer

A)  "The risk for developing alcoholism is increased if there is a family history of alcoholism." 
B)  "Studies have confirmed that individuals with dependent personality traits are at high risk for this disease." 
C)  "Cultures that include alcohol as part of the ritualized behavior have a higher rate of alcoholism." 
D)  "Twin studies have indicated that the environment of a person is more important than the biologic influences of parents."

Question 8

Which group would be the target population for educational material on the dangers of binge drinking?

Accepted Answer

A)  Full-time college students 
B)  Blue-collared young adults 
C)  Older widows and widowers 
D)  High school juniors and seniors

Question 9

Which assessment data poses the greatest risk for injury in a patient who abuses alcohol?

Accepted Answer

A)  Takes a baby aspirin each morning 
B)  Uses over-the-counter antihistamines for seasonal allergies 
C)  Has been taking a tricyclic antidepressant for more than 2 years 
D)  Took a narcotic for 1 week to manage post-dental surgery pain

Exam 15: Substance Related Disorders and Addictive Behaviors

A substance use disorder (SUD) is a likely comorbid mental illness in which patient?