Deck 15: Substance Related Disorders and Addictive Behaviors

Question 1

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

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

Answer 1

Full-time college students

Question 2

If an individual is admitted with a diagnosis of Wernicke-Korsakoff's syndrome,the nurse would expect to assess:

A) Peptic ulcer
B) Vivid illusions
C) Cognitive deficits
D) Auditory hallucinations

Answer 2

Cognitive deficits

Question 3

A patient recently discharged from an alcohol rehabilitation program is brought to the hospital in a state of prostration with severe throbbing headache,tachycardia,a beet-red face,dyspnea,and continuous vomiting.The patient's significant other states the patient got sick about 15 minutes after drinking a glass of wine.The nurse should be guided in assessment by the suspicion that the patient:

A) Is having a stroke
B) Has alcohol intoxication
C) Is reacting to disulfiram (Antabuse)
D) Is exhibiting symptoms of cross-dependence

Answer 3

Is reacting to disulfiram (Antabuse)

Question 4

Which observation seen in a teenage patient supports the suspicion of anabolic steroid abuse?

A) Lack of facial hair
B) Ritualized hand washing
C) Stealing and hiding a magazine belonging to another patient
D) Throwing a chair when told it was time to turn off the television

Question 5

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:

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 6

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

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

Question 7

Which nursing intervention best demonstrates an understanding of the relationship between confirmed intravenous drug abuse and specific infections?

A) Screening the patient for hepatitis B virus (HBV)
B) Assessing the patient for potentially infected injection sites
C) Determining if the patient has ever been tested for human immunodeficiency virus (HIV)
D) Evaluating the patient's understanding of the increased risk for developing sexually transmitted diseases

Question 8

Which protocol should guide the nurse responsible for administering pharmacologic interventions for a patient who is experiencing alcohol intoxication?

A) Medication interventions are based on the presence of withdrawal symptoms.
B) Medications are prescribed at appropriate intervals for at least one full week.
C) Symptoms are managed with medications for only the initial 24 hours of hospitalization.
D) Medications are introduced to treat grand mal seizures that may accompany withdrawal symptoms.

Question 9

Which nursing intervention demonstrates an understanding regarding the primary form of substance use disorder among older adults?

A) Assessing the patient's hands and feet for the presence of both numbness and tingling
B) Having the patient, "describe your relationship with you adult children, co-workers, and friends."
C) Asking, "Please identify for me all the medications both prescribed and over the counter you regularly take."
D) Evaluate the patient's understanding of the possible health risks that alcohol and medication abuse has on one's health

Question 10

Which intervention has priority when a nurse suspects a staff member of providing patient care while being impaired by alcohol or drugs?

A) Asking the staff member to explain their suspicious behavior
B) Adjust the staff member's assignment to minimize patient contact
C) Providing the staff member with material regarding alcohol abuse and treatment
D) Reporting the staff member's suspicious behavior to the nursing supervisor on duty

Question 11

Which social factor has the greatest impact on the changing nature of alcohol abuse treatment?

A) Development of new pharmaceutical treatment options
B) Dramatic increase of alcoholism among young adult males
C) Raising cost of both inpatient and outpatient treatment programs
D) Women's substance abuse only recently acknowledge by society

Question 12

Which observation best supports the patient's success with achieving long-term sobriety?

A) Asking a family member to, "get rid of all the alcohol before I come home"
B) Identifying all the problems alcoholism has caused the family over the years
C) Being able to discuss the importance of attending a support group for alcoholics
D) Promising to, "stop the drinking so I can be a good parent and raise a good child"

Question 13

Which question is most appropriate when assessing a patient who is exhibiting symptoms of a systemic infection including a fever of unknown origin?

A) "Are you an intravenous drug user?"
B) "Have you been told that you drink too much alcohol?"
C) "Have you been diagnosed with an acute bacterial infection before?"
D) "Are you familiar with an infection of the heart called endocarditis?"

Question 14

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

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 15

Which sociological aspect,vital to relapse prevention,is greatly affected when a patient is found to have a dual diagnosis of psychosis and alcoholism?

A) Ability to afford the cost of outpatient services
B) A supportive, reliable, accessible support system
C) Protection from both physical and emotional abuse
D) Access to reasonable housing and employment opportunities

Question 16

Which assessment data would bring into question a patient's statement that,"I have only a few drinks on special occasions."?

A) History of treatment for glaucoma
B) Fasting serum blood glucose level of 182 mg/dL
C) Patient reports numbness in hands and feet bilaterally
D) Red rash observed over neck, shoulders, and upper chest

Question 17

Which assessment demonstrates the nurse's understanding of the relationship between substance abuse and the development of symptoms characteristic of delirium?

A) Determining the patient's age and gender
B) Evaluating the patient's food and fluid intake over the last 48 hours
C) Observing the patient for fine tremors of the hands, especially the fingers
D) Determining the amount of caffeine the patient ingested in the last 24 hours

Question 18

Which principle of recovery is the basis of the nurse's response when a patient relapses and is hospitalized for alcohol detox treatment?

A) Alcoholism requires a lifelong commitment to control.
B) Most people who are serious about treatment achieve sobriety.
C) Relapsing is an expected occurrence for the patient diagnosed with alcohol abuse.
D) Rehabilitation generally involves several relapses before true sobriety is achieved.

Question 19

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

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 20

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

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 21

Which intervention will the nurse caring for a patient suspected of phencyclidine (PCP)abuse implement based on an understanding of the medication's unique properties?

A) Assessing for chronic renal failure
B) Focusing attention on providing patient safety
C) Implementing suicide precautions immediately
D) Monitoring for delayed development of psychotic symptoms

Question 22

When suspicious of possible fetal alcohol syndrome,which assessment findings would support this diagnosis? Select all that apply.

A) Webbed toes
B) An enlarged head
C) Super sensitive hearing
D) A flattened bridge of the nose
E) Symptoms of a septal heart defect

Question 23

Which assessment observation is the best support for a patient's diagnosis of alcoholism?

A) Reporting, "I messed up three marriages."
B) Testing positive for hepatitis B virus (HBV)
C) Admission that, "I drink more than I should."
D) A positive response to three items on the CAGE test

Question 24

A nurse engaged in primary prevention for substance abuse among adolescents could advise parents to (select all that apply):

A) Watch for signs of depression.
B) Help the teen anticipate pressures.
C) Be a role model for effective coping skills.
D) Support the teen's interest in hobbies and sports.
E) Require academic tutoring when grades begin to drop.

Question 25

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

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 26

Which intervention will the nurse plan for when managing the detoxification of a patient diagnosed with chronic alcoholism?

A) Low-protein diet to minimize risk of kidney failure
B) Seclusion to help manage aggression towards others
C) Transporting patient to scheduled 12-step support group meetings
D) Administering Ativan (lorazepam) to manage alcohol withdrawal symptoms

Question 27

Which outcome would be appropriate for the detoxification phase of treatment for alcoholism?

A) Adequate dietary protein intake
B) Re-connection with family and support system
C) Identification of triggers that cause alcohol abuse
D) Control over emotions resulting in aggressive behavior

Question 28

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

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 29

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):

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.