Boyd- Addiction (Chapter 31)
A client drinks 24 oz. of vodka every day, having gradually increased to this level over the past 2 to 3 years. The client continues to maintain a job and functions well in activities of daily living, relationships, and other aspects of social life. Which term should the nurse use to describe this drinking behavior? Withdrawal Tolerance Abuse Intoxication
Tolerance
The nurse is assessing the drinking history of a client with a history of alcohol abuse. The client is being admitted after being found unresponsive in a public place. Which statement would indicate the use of defense mechanisms? -"I have tried so many times to stop drinking. It is so hard." -"I don't really have a problem with alcohol. I've just been having a streak of bad luck lately." -"I really need some help. My drinking is tearing my family apart." -"I have no intention to stop drinking. I like the way it makes me feel."
"I don't really have a problem with alcohol. I've just been having a streak of bad luck lately."
Suspicion that a nursing professional is impaired by a substance abuse problem is most supported by which situation? Asking to be scheduled for weekend shifts as much as possible Frequently calling off work for undefined illnesses Spending a considerable amount of shift time off the unit Having several clients complain that their pain medication is not working
Having several clients complain that their pain medication is not working
When discussing methadone treatment with a client, the nurse should include what? It takes 1 to 2 years to cure an opiate addict. It decreases the severity of heroin withdrawal symptoms. The cure rate is extremely high. It is a nonaddictive treatment.
It decreases the severity of heroin withdrawal symptoms.
Which characteristic of the 12-step program distinguishes it from other programs? It is a self-help group that does not necessarily use health professionals as leaders. Infrequent attendance is usually successful. Persons who use this program are independent in their sobriety. The philosophy that it is possible to reduce the use of substances without abstaining.
It is a self-help group that does not necessarily use health professionals as leaders.
Which statement incorrectly identifies positive aspects regarding methadone for heroin addiction? It is controlled by a physician. It is available in tablet form. It is a legal medication. It is available in IV form.
It is available in IV form.
A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client? Monitor respiratory function. Check the client's belongings for additional drugs. Prepare a dose of ipecac, an emetic. Pad the side rails of the bed because seizures are likely.
Monitor respiratory function.
A group of nursing students is reviewing information about nutritional supplementation used during alcohol detoxification. The students demonstrate the need for additional review when they identify which of the following as being used? Folic acid Magnesium sulfate Naloxone Thiamine
Naloxone *Naloxone (Narcan), an opioid antagonist, is given to reverse the respiratory depression, sedation, and hypertension for opioid intoxication. Multivitamins and adequate nutrition are essential for clients who are withdrawing from alcohol. Because malnutrition is common, other vitamin replacement may be necessary for certain individuals. Thiamine (vitamin B1) is initiated during detoxification, given to decrease ataxia and other symptoms of deficiency. It is usually given orally, 100 mg four times daily, but can be given intramuscularly or by intravenous infusion with glucose. Folic acid deficiency is corrected with administration of 1.0 mg orally four times daily. Magnesium deficiency also is found in those with long-term alcohol dependence. Magnesium sulfate, which enhances the body's response to thiamine and reduces seizures, is given prophylactically for clients with histories of withdrawal seizures.
A client is admitted for treatment of trauma sustained in a fall. The client believes bugs are crawling on the bed. The client is anxious, agitated, diaphoretic and has a history of chronic drinking. The nurse can anticipate that the physician will order which medication? monoamine oxidase inhibitor, such as phenelzine narcotic, such as codeine phenothiazine, such as chlorpromazine or thioridazine benzodiazepine, such as diazepam or chlordiazepoxide
benzodiazepine, such as diazepam or chlordiazepoxide
A client will be taking disulfiram after discharge from an alcohol treatment program. Which statement would indicate that teaching has been effective? "Disulfiram is safe to take with any over-the-counter cold medication." "If I drink while taking disulfiram, it will make me vomit before the alcohol affects me." "Drinking alcohol while taking disulfiram can cause dangerous symptoms." "Disulfiram will block my cravings for alcohol, so I'll have less desire to drink."
"Drinking alcohol while taking disulfiram can cause dangerous symptoms."
As a component of the standard nursing admission assessment at the hospital, a nurse is using the CAGE tool. Which of the following questions will the nurse ask the client? "Have you ever felt like you should cut down on your drinking?" "Do you consider yourself to be an alcoholic?" "Have you ever required medical treatment for an illness related to alcohol use?" "How many drinks do you have in a typical week?"
"Have you ever felt like you should cut down on your drinking?"
A client is being discharged from treatment for addiction to cocaine. Which statement made by the client would cause the most concern for the nurse? "I can still hang out with my old friends. I am just not going to use." "I'm not very comfortable with being alone yet." "Shooting baskets helps me not think about getting high." "I am going to take up a new hobby. It's time to start something new."
"I can still hang out with my old friends. I am just not going to use."
The nurse is leading a family therapy group with a client addicted to alcohol. Which statement made by the spouse indicates the need for additional education regarding alcoholism as a family illness? "Last time the client got arrested, I just let the client sit in jail." "We have separated our finances so that I will not go broke." "I have to call in sick for the client when the client is too hung over to go to work." "I take my kids with me to Al-anon meetings every week."
"I have to call in sick for the client when the client is too hung over to go to work."
A client calls the emergency department of the local hospital reporting that after 16 years of heavy drinking, the client is tired and wants to quit "cold turkey." What would be the best response by the nurse? "You will likely feel anxious and get a severe headache. Treat these symptoms with acetaminophen and rest, and come in if they do not get better in 3 to 5 days." "After a few days of rest, you should feel much better as long as you do not drink anything." "It is not safe to stop drinking suddenly without medicine." "You sound really motivated. Come in and we will help you find a treatment center."
"It is not safe to stop drinking suddenly without medicine."
The nurse is conducting a health promotion class on drug awareness with a group of junior high school students. Which of the following teaching points should the nurse include in this session? "Heavy marijuana use has resulted in severe withdrawal symptoms in some people once they decide to quit." "Marijuana and heroin actually have a very similar potential for addiction." "Most people are unaware of the fact that marijuana is actually a very addictive drug." "Marijuana use can result in psychological dependence, which can have a very negative effect on your life."
"Marijuana use can result in psychological dependence, which can have a very negative effect on your life."
A nurse is working with a couple seeking counseling for marital discord. The history indicates one of the clients was treated for substance abuse 4 years ago and attends Alcoholics Anonymous (AA) meetings occasionally. Which statement made by the recovering client should alert the nurse for the need for further education? "I still need to go to AA meetings even though I have been sober for years." "I wish I could be able to handle just one beer with dinner." "After all these years, I just don't have the will power to stop if I started using again." "My spouse gets upset when I hang out with my old buddies on the weekends."
"My spouse gets upset when I hang out with my old buddies on the weekends."
A client is readmitted to the substance abuse program for the second time in 6 months for alcohol abuse. On admission, the client tells the nurse, "I am so ashamed." What should the nurse reply? "I really thought you would make it." "Why did you start drinking again?" "You have nothing to be ashamed of." "Tell me what has happened since your last admission."
"Tell me what has happened since your last admission."
A client has entered treatment for alcohol dependency at the client's spouse's insistence. The client's spouse has threatened to leave the marriage unless the client seeks treatment. The client admits that the client drinks every day, but that the drinking is well in control. The nurse recognizes the client's comments as denial. What is the best response by the nurse? "How much do you drink per day as compared to your friends?" "What negative consequences have resulted from your drinking?" "Your spouse doesn't seem to think your drinking is in control. Do you know why?" "You're in denial, which is common in the early stages of recovery."
"What negative consequences have resulted from your drinking?"
The nurse is providing support to a client's child regarding the parent's alcohol use disorder. When integrating the disease concept treatment approach about this type of disorder, which statement by the nurse would be most effective? "A brief intervention for alcohol use problems is very effective." "Your parent's alcohol use problem is a chronic disease but can be treated." "With your parent's cooperation, your parent can go through the detoxification process." "Your parent wants to stop drinking but the parent is addicted to the alcohol."
"Your parent's alcohol use problem is a chronic disease but can be treated."
A client is being treated on the inpatient unit for alcoholism. Disulfiram (Antabuse) has been prescribed for a client receiving treatment for alcoholism. Which of the following should be included in the client's plan of care? -Have weekly blood alcohol levels drawn -Do not drive heavy machinery -Limit alcohol consumption to a moderate level -Avoid all products containing alcohol
-Avoid all products containing alcohol
Which of the following is the best description of the term substance use disorders, according to the American Psychiatric Association? -Indicates that the client does not experience tolerance and withdrawal symptoms -Is an umbrella term for substance abuse and substance dependence -Indicates that the client experiences tolerance and withdrawal symptoms -Indicates that the client has a medical reason for taking the substance
-Is an umbrella term for substance abuse and substance dependence
A client with chronic alcoholism has been found to have Korsakoff's psychosis. This irreversible complication is characterized by what? -Thiamine, or vitamin B1, deficiency -Hypothalamic and mammillary body lesions -Double vision and rapid eye movement -Inability to learn new skills and short-term memory loss
-Thiamine, or vitamin B1, deficiency
Disulfiram should not be administered until a client has abstained from alcohol for at least how long? 8 hours 16 hours 12 hours 4 hours
12 hours
In a person who abuses alcohol or is a chronic drinker, alcohol withdrawal syndrome usually begins within which time frame from abrupt discontinuation or an attempt to decrease consumption? 48 hours 12 hours 18 hours 24 hours
12 hours
The body can metabolize how much beer per hour without intoxication? 16 oz 28 oz 14 oz 12 oz
12 oz
A client with alcohol abuse is to receive disulfiram. The client's last drink was at 4 PM. The client should receive the medication no earlier than at which time? 12 midnight 4 AM 8 PM 8 AM
4 AM
A client who has been abusing opioids for about one year has run out of the drug. The last time he used the drug was at 12 noon. The client would most likely develop signs and symptoms of withdrawal by which time? 2 AM 6 PM 9 PM 2 PM
9 PM
A client has been admitted to the inpatient unit after using inhalants recently. Which of the following is an antidote to treat inhalant toxicity? Antabuse Narcan Ativan There is no antidote
There is no antidote
Wernicke's encephalopathy is a degenerative brain disorder characterized by which type of deficiency? Thiamine Vitamin D Vitamin A Vitamin C
Thiamine
Wernick-Korsakoff syndrome is a neurologic condition that can result from heavy drinking. Which of the following medications is used to prevent Wernicke-Korsakoff syndrome? Thiamine (vitamin B1) Folic acid (Folate) Lorazepam (Ativan) Cyanocabalamin (vitamin B12)
Thiamine (vitamin B1)
The mental health nurse is preparing a presentation about prescription drug abuse to a local community group. When describing the incidence, which age group would the nurse identify as experiencing an increase? Middle-age males Adolescents Chronically ill females Cognitively impaired older adults
Adolescents
A nurse is conducting a seminar with a local parent group about substance use and abuse. The nurse determines that the seminar was successful when the group identifies which substance as the most abused in the United States? Heroin Marijuana Cocaine Alcohol
Alcohol
A client with a history of heavy alcohol use, whose last drink was 24 hours ago, is seen in the emergency department. The nurse assesses the client and finds the client is oriented but is tremulous, weak, and sweaty and has some gastrointestinal (GI) symptoms. Which is typical of these symptoms? -Delirium tremens -Alcohol withdrawal syndrome -Wernicke-Korsakoff syndrome -Continuing intoxication
Alcohol withdrawal syndrome
The nurse is performing a history and physical examination on a client with chronic alcoholism. The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. Which of these conditions are attributable to the client's history of alcohol abuse? Pancreatitis and elevated liver enzymes Pancreatitis, esophagitis, gastritis, and elevated liver enzymes Gastritis and elevated liver enzymes All the conditions are attributable to the alcohol abuse
All the conditions are attributable to the alcohol abuse
An unconscious client is admitted to the emergency department after a motor vehicle accident. The client's blood alcohol level upon admission was .17. The client's family soon arrives, reporting that the client is an extended family member who is visiting from out of town. They cannot give much more history other than that the client is a "social drinker." After being transported to the unit, the client starts sweating and has elevated vital signs. What information should the nurse request of the family? Does the client have a history of any sort of anxiety disorder? For what occasion is the client visiting from out of town? Who is the next of kin? Are there other indications that the client may be a heavy drinker?
Are there other indications that the client may be a heavy drinker?
A client is experiencing alcohol withdrawal symptoms. Which of the following would the nurse expect to be prescribed to assist with the withdrawal symptoms, acting as a substitute for the alcohol? Phenothiazines Beta-blockers Antiseizure agents Benzodiazepines
Benzodiazepines
Which of the following agents would be helpful in alleviating the physical complications associated with alcohol withdrawal? Tricyclic antidepressants MAOIs Benzodiazepines SSRIs
Benzodiazepines *Self-blame is an example of maladaptive coping or codependent behavior. Anger can be a reasonable and appropriate response to a difficult situation; it is not considered pathologic and can lead to positive change. Open expression of ideas and recognition of accomplishments are positive coping strategies in a stressful situation, not indications of codependency.
When interviewing the family members of a client being treated for substance abuse problems, which behavior would alert the nurse to the possibility of codependency? Blaming themselves for the client's problems Being flexible but angry Taking pleasure in self-accomplishments Expressing thoughts and feelings openly
Blaming themselves for the client's problems
A nurse is working in an intensive care unit and observes that some clients do not respond to injections of diazepam (Valium) when the injections are given by another nurse. That nurse returns from lunch exhibiting slurred speech and euphoria. Which of the following is the best action for the ICU nurse to take? -Observe the nurse as injections are prepared and administered. -Tell the nurse, "I know you've been stealing Valium." -Ask other nurses if they have noticed anything unusual. -Call the manager and report the observations.
Call the manager and report the observations.
When educating the public regarding substance-related disorders, the mental health nurse explains that the condition of drug dependence is a state defined as ... Chronic or recurrent drug intoxication, characterized by psychological and physical dependence Physical effects resulting from the multiple episodes of substance use Emotional dependence on a drug or a desire or compulsion to continue taking a drug Substance-seeking activities and pathological use patterns of the person using substances
Chronic or recurrent drug intoxication, characterized by psychological and physical dependence
A client in treatment for drug abuse makes the statement to some of the other clients, "I am a winner. You all are the losers because you can't beat this on your own." What common characteristic of persons addicted to drugs is revealed in this statement? -Defending against a negative self-concept -Indication of an underlying personality disorder -Realistic understanding of successful recovery of drug addiction -Brain damages resulting from chronic drug use
Defending against a negative self-concept
The ingestion of mood-altering substances stimulates which neurotransmitter pathway in the limbic system to produce a "high" that is a pleasant experience? Norepinephrine Dopamine Serotonin Acetylcholine
Dopamine
A nurse suspects that a client is experiencing alcohol withdrawal based on assessment of which of the following? Hypotension Elevated temperature Bradycardia Slurred speech
Elevated temperature
The nurse is assessing a client admitted for drug and alcohol abuse. Which data from the assessment will increase the nurse's suspicion that the client may experience withdrawal symptoms? Elevated liver enzymes and low blood pressure Psychomotor agitation and flight of ideas Flat affect and labile mood Elevated vital signs and nervousness
Elevated vital signs and nervousness
A nurse is caring for a client who uses phencyclidine (PCP). PCP is classified as which type of substance? Opioid Inhalant Cannabis Hallucinogen
Hallucinogen
Which are effects of alcohol withdrawal syndrome? Select all that apply. Seizures Decreased blood pressure Hand tremors Delirium tremens Increased pulse
Hand tremors Seizures Increased pulse Delirium tremens
The nurse in an outpatient rehabilitation program is speaking with a group of clients who have recently recovered from alcohol abuse. Which issue should the nurse raise before the clients leave for the day? -Help them to identify appropriate diversional activities. -Remind them that substance dependency is a disease, not a mental disorder. -Ask them to make a list of all the people they harmed during their addictions. -Suggest that they try to confront other issues in their lives, such as estranged relationships or financial issues.
Help them to identify appropriate diversional activities.
A peer reports for work looking unkempt and disheveled. The peer's movements are uncoordinated, and the peer's breath smells of alcohol. Another nurse suspects this peer is intoxicated. Which action by the nurse who suspects that a peer is intoxicated would be most appropriate? Immediately call the supervisor to report the peer's behavior. Give the peer some information about the hospital's employee assistance program. Tell the peer that the peer should go home. Ignore the situation until someone else validates the observations.
Immediately call the supervisor to report the peer's behavior.
A client has a blood alcohol level of 0.05%. The nurse would expect which behavior to occur? Difficulty driving Coma Stupor Impaired judgment
Impaired judgment
A client is to receive cognitive behavioral therapy as part of the treatment for a substance abuse problem. Which of the following would the nurse need to integrate into the discussion when describing this treatment? Select all that apply. The client will need to analyze his distorted thinking. It is a treatment that is considered long-term therapy. It will decrease physiological cravings It focuses on the immediate problem. It requires the client to examine his thinking process related to the problem.
It focuses on the immediate problem. It requires the client to examine his thinking process related to the problem. The client will need to analyze his distorted thinking.
A client is being treated for alcoholism. Which of the following medications is used to prevent alcohol withdrawal symptoms? Lorazepam (Ativan) Folic acid (Folate) Naltrexone (ReVia) Clonidine (Catapres)
Lorazepam (Ativan)
While at a nightclub, an adolescent male consumed a pill handed to him by a friend. His friends brought him to the emergency room after he collapsed at the club. When the nurse takes his temperature, a reading of 105°F is obtained. The pill was most likely which of the following? Methamphetamine MDMA (ecstasy) Cocaine Cannabis
MDMA (ecstasy)
A client is experiencing severe alcohol withdrawal. Which would the nurse most likely assess? Select all that apply. Auditory hallucinations Gross uncontrollable tremors Decreased appetite Marked diaphoresis Heart rate around 100 beats/min
Marked diaphoresis Auditory hallucinations Gross uncontrollable tremors *A person experiencing severe alcohol withdrawal would exhibit marked diaphoresis, auditory and visual hallucinations, a heart rate between 120 and 140 beats/min, gross uncontrollable tremors, and a complete inability to eat or drink.
After a long history of intravenous heroin use, a client has expressed willingness to stop using heroin. The nurse would expect the client to receive which medication to decrease the severity of withdrawal? Amphetamines Ondansetron Methadone Gabapentin
Methadone
Which of the following is used as a substitute for heroin in some maintenance programs? Methadone Benzodiazepines Amphetamines Barbiturates
Methadone
A nurse is exploring treatment options with a client addicted to heroin. Which information regarding the use of methadone is important for the nurse to include? -Methadone will meet the physical need for opiates without producing cravings for more. -Methadone will produce a high similar to heroin. -Unlike heroin, methadone is nonaddicting. -People taking methadone run the same risks associated with intravenous drug use as those taking heroin.
Methadone will meet the physical need for opiates without producing cravings for more.
Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions? -Suicide precautions because suicide attempts are frequent during withdrawal -Vital signs and medications as prescribed -Seizure precautions and vital signs -Observation for symptoms, vital signs, seizure and fall precautions, medications as ordered
Observation for symptoms, vital signs, seizure and fall precautions, medications as ordered
The nurse is assessing a client's risk factors for developing a substance abuse disorder. Which family characteristic would the nurse identify as the most significant risk factor? One parent who is an alcoholic Overprotective parents Being raised in an urban area Parents who practiced strict discipline
One parent who is an alcoholic
A client who is abusing substances is to undergo brief intervention. The nurse understands that this technique is most effective for a client who exhibits which symptoms? Short history of drug use High levels of dependence Multiple problems involving drug use Unstable backgrounds
Short history of drug use
A nurse who started recovering from alcohol abuse 3 months earlier is ready to return to work. When speaking with the therapist, the nurse states the nurse is nervous about how coworkers will respond to the nurse now that "they all know I'm a drunk." Which diagnosis best targets the problem implicit in the nurse's remarks? Anxiety related to situational crisis Powerlessness related to perceived inability to change the opinions of others Ineffective coping related to long history of alcohol use Situational low self-esteem related to medical condition
Situational low self-esteem related to medical condition
Which neurochemical influences is a probable cause of substance abuse? Inhibition of gamma-Aminobutyric acid (GABA) in the brain Stimulation of dopamine pathways in the brain Imbalances of serotonin and norepinephrine in the brain Excessive serotonin activity in the central nervous system
Stimulation of dopamine pathways in the brain
Which disorder across the lifespan accounts for more deaths than any other preventable health condition? Eating disorders Personality disorders Schizophrenia Substance abuse disorders
Substance abuse disorders
Which statement most accurately describes the etiology of substance-related disorders? -The primary predictors of substance-related disorders are childhood trauma and parental abuse or neglect. -Substance abuse is a learned behavior. -Substance-related disorders result from the interplay of biologic, genetic, and psychosocial factors. -Substance-related disorders are primarily a result of the presence of an individual's inherently addictive personality.
Substance-related disorders result from the interplay of biologic, genetic, and psychosocial factors.
A community health nurse is planning a substance abuse prevention program. Which group would be the best target audience for the nurse? -Elementary school teachers and counselors -Parents attending a parent-teacher association meeting -School-age children in an after-school program -Teenagers in a high school health class
Teenagers in a high school health class
Which factor would contraindicate the use of disulfiram in the treatment of a client who has an alcohol use disorder? The client engages in binge drinking a few times a week rather than drinking consistently each day. The client uses marijuana in addition to alcohol. The client had six drinks a few hours ago. The client has a demonstrated family history of alcoholism.
The client had six drinks a few hours ago.
The client was diagnosed with cocaine abuse at age 30. When the client was 23, the client was diagnosed with major depressive episode, and has continued to have depression off and on since then. Which statement would reflect this situation? -The client's prognosis is very poor because discontinuing the cocaine use will exacerbate depressive symptoms. -The client is probably using cocaine in combination with her antidepressants to enhance the effects of the cocaine. -The client needs to address the cocaine abuse first before addressing her episodes of depression. -The client most likely has a dual diagnosis since she has both a substance dependence and depression.
The client most likely has a dual diagnosis since she has both a substance dependence and depression.
A client with opioid addiction is prescribed methadone maintenance therapy. When explaining this treatment to the client, which of the following would the nurse need to keep in mind? The drug helps to satisfy the craving for the opioid. Methadone simulates the high of heroin. Methadone is a not physiologically addictive. Methadone is a non-opioid drug.
The drug helps to satisfy the craving for the opioid.
The nurse is talking with the friend of a client with alcoholism. The friend tells the nurse that his relationship with the client was codependent and enabling. Which of the following is an example of codependent behavior? -The friend called Alcoholics Anonymous when the client expressed a need to stop drinking. -The friend called the client every night to make sure he got home safely, and went looking for him if he was not at home. -The friend confronted the client on the effect of his drinking on their relationship. -The friend refused to go out drinking with the client to celebrate the client's birthday.
The friend called the client every night to make sure he got home safely, and went looking for him if he was not at home.
An intoxicated client was admitted for trauma treatment last night at 2:00 AM (0200). When should the nurse expect to be alert for withdrawal symptoms? -about 2:00 AM (0200) tomorrow (24 hours after drinking stopped) -about 2:00 AM (0200) of hospital day 3 (72 hours after drinking stopped) -between 8:00 and 10:00 AM (0800 and 1000) today (6 to 8 hours after drinking stopped) -about 2:00 AM (0200) of hospital day 2 (48 hours after drinking stopped)
-between 8:00 and 10:00 AM (0800 and 1000) today (6 to 8 hours after drinking stopped)
A client is in treatment for depression and alcohol abuse. The client is unwilling to confront substance abuse issues, stating the client uses alcohol to ease feelings of depression. The client's spouse reports that the spouse often has to care for the client when the client is hung over, calling in sick for the client and doing what the spouse can to help the client catch up with household or job responsibilities. The nurse diagnoses the client's family with dysfunctional family processes. The nurse and clients develop a plan of care. Which goal indicates an understanding of the family situation and the linkages between the diagnosis and the outcomes? The client and spouse will develop better problem-solving techniques. The spouse will refrain from the enabling the client's drinking behaviors. The client will admit that the client is an alcoholic. The spouse will work through anger at the client.
The spouse will refrain from the enabling the client's drinking behaviors.
A client's history reveals that he continues to use cocaine despite the negative consequences. The nurse identifies this as which of the following? Use Addiction Withdrawal Abuse
Addiction
Disulfiram has been prescribed for a client receiving treatment for alcoholism. Which should be included in the client's plan of care? Have weekly blood alcohol levels drawn Avoid all products containing alcohol Do not drive heavy machinery Limit alcohol consumption to a moderate level
Avoid all products containing alcohol
Children of those who abuse substances are at high risk for both substance abuse and which of the following? Eating disorders Behavior disorders Autism Schizophrenia
Behavior disorders
Which group could benefit most from prevention programs? Infants Older adults Adults who have already engaged in substance abuse Children, prior to first use
Children, prior to first use
A client enters the emergency room exhibiting tremors, agitation, and restlessness. Upon assessment, the client's blood pressure is 160/90, pulse is 110, and respirations are 22. It has been 36 hours since the client's last drink of alcohol. The nurse would suspect which conditions to be occurring? Korsakoff's psychosis Alcohol tolerance Delirium tremens Wernicke's encephalopathy
Delirium tremens
Which is the most common defense mechanism used by a client diagnosed with a substance use problem? Suppression Repression Denial Regression
Denial
A client is brought to the emergency department by law enforcement after suspicion of driving under the influence. A blood alcohol level is drawn and is found to be 0.10 mg%. Which of the following would the nurse expect to assess? Giddiness Impaired judgment Mood changes Difficulty coordinating movements
Difficulty coordinating movements
A client is admitted to the emergency department after using MDMA (Ecstasy). The nurse identifies this drug as which of the following? Stimulant Hallucinogen Sedative Opioid
Hallucinogen
When conducting an adolescent drug awareness program, the nurse describes which of the following drugs as having the highest addiction potential? Marijuana and nicotine Cocaine and codeine Amphetamines and barbiturates Heroin and morphine
Heroin and morphine
A client is brought to the emergency department following a car accident. The client's blood alcohol level (BAL) is 0.10%. Which of the following would the client likely exhibit? Ataxia Impaired coordination Giddiness Emotional lability
Impaired coordination
Disulfiram has which of the following effects on prothrombin time? Decrease Increase Remains within normal limits No effect
Increase
Which drug reverses opioid toxicity? Clonidine Methadone Disulfiram Naloxone
Naloxone
A client is brought to the emergency department with a suspected heroin overdose. Which of the following would support this suspicion? Euphoria Reduced libido Impaired memory Respiratory depression
Respiratory depression
A client reports drinking one to two drinks when drinking behavior first began. Now the client reports drinking at least six drinks with every episode in order to "have a good time." Which term would best describe this phenomenon? Tolerance Dependence Intoxication Withdrawal
Tolerance
The client began drinking a six-pack of beer every day in the client's freshman year of college. By sophomore year, the client is drinking two six-packs to get the same effect. This is best described as which phenomena? Intoxication Tolerance Dependence Alcohol abuse
Tolerance
A nurse is conducting a class for a group of high school students about marijuana use and abuse. The nurse determines that the class needs further discussion when they state which of the following? It is not known if marijuana smoke contributes to the risk of lung cancer. Marijuana can produce the same respiratory problems as tobacco. It interferes with coordination and balance. Use of marijuana does not lead to addiction.
Use of marijuana does not lead to addiction.
A client is admitted to the emergency department for intoxication with alcohol. The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. When treated with thiamine, the client's symptoms greatly improve. Which condition was the client likely experiencing? Alcoholic dementia Alcohol dependence with memory impairment Scurvy Wernicke-Korsakoff syndrome
Wernicke-Korsakoff syndrome
A client is admitted to the emergency department for intoxication with alcohol. The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. When treated with thiamine, the client's symptoms greatly improve. Which condition was the client likely experiencing? Alcoholic dementia Alcohol dependence with memory impairment Wernicke-Korsakoff syndrome Scurvy
Wernicke-Korsakoff syndrome
