Substance Abuse

A nursing student is presenting a class on preventing drug use. Which statement requires additional education? "Heroin is addictive after several uses." "Globally, 1.6 million people who inject drugs are living with HIV." "There are three classes of prescription drugs that are commonly abused." "Symptoms of cannabis use disorder include craving cannabis, disruption in functioning, and development of tolerance."

"Heroin is addictive after several uses."

Place the stages of the addiction process in order. Transition Dependency and Addiction Abuse Continuation Initiation NOT SURE

Initiation Continuation Transition Abuse Dependency and Addiction

Which statements reflect the structure of Alcoholics Anonymous (AA)? Select all that apply. AA is spiritually based. AA is a 12-step program. AA is a self-help program. AA is not professionally dominated. AA is led by professional counselors.

AA is spiritually based. AA is a 12-step program. AA is a self-help program. AA is not professionally dominated.

Which interventions are appropriate for an individual with a high-risk National Institute on Drug Abuse (NIDA) quick screen score? Select all that apply. Arrange referral Consider referral Assist or offer help Reinforce abstinence Provide medical advice Assess readiness to change

Arrange referral Assist or offer help Provide medical advice Assess readiness to change

Which is the first step in providing care for those affected by substance abuse? Assessment of the problem Enrollment in a detox program Ask family about substance use history Referral to a substance abuse counselor

Assessment of the problem

Which factors contribute to drug misuse and abuse in the older adult population? Select all that apply. Cognitive decline Delayed metabolism Multiple prescriptions Delayed drug excretion Financial independence Caregiver access to medication

Cognitive decline Delayed metabolism Multiple prescriptions Delayed drug excretion

Which is considered a symptom of cannabis use disorder? Select all that apply. Cravings Excitation Trip with delusions Developed tolerance Disrupted functioning

Cravings Developed tolerance Disrupted functioning

Which is the primary rationale for gender differences in drug use? Differences in genetic propensity Differences in financial resources Differences in opportunity and environment Differences in vulnerability between the genders

Differences in opportunity and environment

According to the public health model of addiction, which is an environmental causative factor? Extreme wealth Prenatal drug use Drug contaminants Genetic susceptibility

Extreme wealth

Which drugs are considered illicit? Select all that apply. LSD Heroin Cocaine Alcohol Inhalants Tobacco

LSD Heroin Cocaine Inhalants

Which interventions reflect community modes of intervention? Select all that apply. Detoxification treatment Forming national associations Law enforcement to limit access to addictive substances Educational programs at schools to prevent substance use Public service communication regarding substance use risk Forming federal research entities

Law enforcement to limit access to addictive substances Educational programs at schools to prevent substance use Public service communication regarding substance use risk

Which substance is increasing in use by adolescents? LSD Heroin Marijuana Crystal meth

Marijuana

Which responses are appropriate when explaining to a parent why marijuana is considered a gateway drug in adolescents? Select all that apply. Marijuana can be laced with heroin. Marijuana use always leads to cocaine use. Adolescents tend to view marijuana as a low-risk drug. Marijuana use creates a social scene for advanced drug use. Neurobiologically, marijuana stimulates drug receptors for heroin.

Marijuana can be laced with heroin. Adolescents tend to view marijuana as a low-risk drug.

Which assessment data reflects the transition phase of the addiction process? Social withdrawal occurs Adverse effects are evident More than just social use occurs Physical dependence on the substance occurs

More than just social use occurs

Which intervention is considered a harm reduction strategy? Screening for addiction Teaching about substance abstinence Enrolling in a 12-step recovery program Prescribing methadone in place of heroin

Prescribing methadone in place of heroin

Which symptoms are associated with alcohol use disorder (AUD)? Select all that apply. Sedation Alertness Depression Hallucinations Chronic condition Compulsive drinking

Sedation Depression Chronic condition Compulsive drinking

Which statement reflects the historical legal approach to drug abuse in the United States? Prison was used as a last resort for criminal drug addicts. Society has treated drug use as a rejection of societal norms. Society has focused on comprehensive drug rehabilitation programs. Substance abuse treatment and primary care were often integrated

Society has treated drug use as a rejection of societal norms.

Which objectives reflect Healthy People 2020 goals related to substance use? Select all that apply. Increasing the proportion of adolescents that have never used substances Increasing the number of adolescents who disapprove of substance use Increasing the number of adolescents who have tried substances once and then quit Increasing the proportion of adolescents who perceive great risk associated with substance abuse Increasing adolescent understanding that substance abuse does not include occasional use of tobacco or alcohol

increasing the proportion of adolescents that have never used substances Increasing the number of adolescents who disapprove of substance use Increasing the proportion of adolescents who perceive great risk associated with substance abuse