Chapter 26
The community health nurse is trying to encourage a client to attend Alcoholics Anonymous meetings. When the client asks the nurse what he must do to become a member, the nurse should respond: a. "You must first stop drinking." b. "Your physician must refer you to this program." c. "Admit you are powerless over alcohol and that you need help." d. "You must bring along a friend who will support you."
"Admit you are powerless over alcohol and that you need help."
Personality traits associated with an increased risk of alcohol abuse include: (Select all that apply.) a. impulsive. b. shy. c. withdrawn. d. disinhibited. e. aggressive.
-impulsive -disinhibited
The wife of an alcoholic client is considering joining a support group to help her respond to her husband's condition in a healthy way. Where should the nurse refer this client? a. A psychiatrist for a referral to a suitable group b. Spouses Anonymous c. Al-Anon d. Alcoholics Anonymous
Al-Anon
The community health nurse is visiting the home of a known substance abuser. The client is talking excessively and is excited and aggressive. The nurse notes that the patient's heart rate is 158 beats/min. The nurse recognizes the client is most likely high on which substance? a. PCP b. Alcohol c. Methamphetamine d. Inhalants
Meth
Which of the following statements about adolescent substance abuse is FALSE? a. Teen use of cigarettes and smokeless tobacco is increasing. b. Alcohol use among youth declined between 2010 and 2011. c. Most of the movement in teen substance abuse has been in the downward direction. d. Marijuana use among teens is increasing.
Teen use of cigarettes and smokeless tobacco is increasing.
When a client regularly takes a drug that is a central nervous system (CNS) stimulant, such as cocaine, what symptoms would the nurse expect to see when the client abstains from this substance? a. The client will have symptoms of CNS stimulation. b. The client will experience anxiety, insomnia, and tremors. c. Common symptoms include hallucinations and seizures. d. The client will feel depressed, somnolent, and lethargic.
The client will feel depressed, somnolent, and lethargic.
A high school student is referred to the school nurse for suspected substance abuse. After the nurse's assessment and interventions, what would be the most desirable outcome? a. The student discusses conflicts over drug use. b. The student accepts a referral to a substance abuse counselor. c. The student agrees to inform his parents of the problem. d. The student reports increased comfort with making choices.
The student accepts a referral to a substance abuse counselor.
A survey done by The National Institute on Drug Abuse (NIDA) found that the most commonly abused prescription drug among high-school seniors is: a. OxyContin. b. Vicodin. c. Xanax. d. codeine.
Vicodin
On discharge after treatment for alcoholism, a client plans to take disulfiram (Antabuse) as prescribed. When teaching the client about this drug, the nurse emphasizes the need to: a. avoid all products containing alcohol. b. adhere to concomitant vitamin B therapy. c. return for monthly blood drug level monitoring. d. limit alcohol consumption to a moderate level.
avoid all products containing alcohol.
All of the following outcomes may contribute to the diagnosis of substance abuse except: a. the substance use has placed someone in danger. b. the individual uses the substance despite negative consequences. c. the substance use interferes with the ability to function at work or at home. d. the client is without a job.
the client is without a job.
