Deck 11: Substance Use and the Health of Communities

Question 1

An emergency department (ED) nurse wants to put together a comprehensive screening program for substance use. When choosing a screening tool for drug use, which of the following might she suggest to the team?
1)The DAST-10
2)Both A and C
3)The National Institute on Drug Abuse (NIDA) ASSIST tool
4)The AUDIT

Answer 1

2

Question 2

When a community health nurse conducts an assessment of tobacco-related harm at the population level, she should include which of the possible indicators?
1)Prevalence of childhood asthma
2)Prevalence of chronic obstructive pulmonary disorders
3)Prevalence of lung cancer
4)All of the above

Answer 2

4

Question 3

A 20-year-old man presented to the emergency department (ED) with tactile hallucinations and appeared euphoric, tremulous, anorexic, and had dilated pupils. Based on these facts, the nurse concludes that the patient was most likely using which drug?
1)Methamphetamine
2)Cocaine
3)Alcohol
4)None of the above

Answer 3

1

Question 4

Assessment of risk associated with substance use includes determining which of the following?
1)Quantity consumed
2)Frequency of consumption
3)Duration of use
4)All of the above

Question 5

A nurse manager of a primary care clinic providing care to an underserved population in a large urban setting wished to know more about the prevalence of substance use. She began with national statistics and found that the number one substance, other than tobacco and alcohol, used in the United States as of 2017 was:
1)Cocaine.
2)Hallucinogens.
3)Marijuana.
4)Nonmedical use of psychotherapeutics.

Question 6

A PHN follows which of these guiding principles on harm reduction when helping clients who are substance users?
1)Clients are responsive to culturally competent, nonjudgmental services delivered in a manner that demonstrates respect for individual dignity, personal strength, and self-determination.
2)Service providers are responsible to the wider community for delivering interventions, which attempt to reduce the economic, social, and physical consequences of drug- and alcohol-related harm and harms associated with other behaviors, or practices that put individuals at risk.
3)Because those engaged in unsafe health practices are often difficult to reach through traditional service venues, the service continuum must seek creative opportunities and develop new strategies to engage, motivate, and intervene with potential clients.
4)All of the above.

Question 7

Nurses at a local trauma center were involved in evaluating their hospital's screening program for at-risk alcohol use. Which of the following steps was part of their plan?
1)Review files on patients admitted with a possible alcohol-related injury.
2)Evaluate the current screening system in use on their unit.
3)Review current screening techniques used in other hospitals.
4)All of the above.

Question 8

A public health nurse (PHN) researching risk factors for mortality found that ____ and ____ are leading causes of preventable deaths.
1)Alcohol, tobacco
2)Opioids, tobacco
3)Cannabis, alcohol
4)Opioids, cannabis

Question 9

During a class lecture, a nursing student learned that which of the following are considered psychoactive substances?
1)Depressants
2)Stimulants
3)Both A and B
4)Antidepressants

Question 10

A team of nurses for a medical surgical unit has been assigned to develop an alcohol screening and brief interventions (SBI) program for their department. Which of the following steps should they take during the development stage?
1)Review current alcohol SBI recommendations from the Joint Commission on Accreditation.
2)Develop a plan to train health-care personnel on the use of the alcohol SBI.
3)Both A and B.
4)Conduct a process evaluation.

Question 11

A school nurse working at a high school puts together a school-wide program to educate teens about the harm associated with alcohol use. What level of intervention is this?
1)Universal level of prevention
2)Selective level of prevention
3)Indicated level of prevention
4)None of the above

Question 12

A PHN preparing a proposal on prevention of overdose deaths for the community is worried about the stigma attached to those who use drugs. She understands that stigma:
1)Is a perception that risky substance use is a personal choice and consequences are self-inflicted.
2)Both A and C.
3)Continues to be a barrier for entrance into treatment for the person with a substance use disorder.
4)Encourages persons with a drug use disorder to seek treatment.

Question 13

Nurses at a local trauma center were involved in evaluating their hospital's screening program for at-risk alcohol use. The nurses found that, for many of the health care workers, there seemed to be confusion as to what constituted a positive screen. As part of their staff training, they provided information on the levels of risk. They explained a positive screen:
1)Occurs only with those who have an alcohol use disorder.
2)Occurs with a blood alcohol concentration (BAC) to 0.08 grams percent or above.
3)Occurs independent of other risk factors.
4)Occurs when a person's current level of consumption puts them at risk for adverse health consequences.

Question 14

Which of the following influenced policy-level interventions that led to reduction in tobacco use in the United States?
1)World War II
2)The first Surgeon General's report on smoking and health
3)The Great Depression
4)All of the above

Question 15

A nurse working on a maternity unit became concerned when one of the pregnant patients indicated that she was currently smoking cigarettes. Which of the following adverse effects might eventually affect her unborn child?
1)Low birth weight
2)Increased risk for sudden infant death syndrome (SIDS)
3)Both A and B
4)Lower rates of asthma

Question 16

A nurse studying harm associated with substance use learns that alcohol is a causal factor in more than ____ types of diseases and injuries. 1.200
2)80
3)60
4)10

Question 17

To help patients who report current tobacco use, a nurse knows which of the following evidence-based approaches for smoking cessation strategies is the most effective?
1)Provide patients counseling options.
2)Review options for medications used for smoking cessation.
3)Both A and B.
4)None of the above.

Question 18

When developing a program to address drug use in the schools, the school nurse wants to make sure that she includes all types of psychoactive substances. In addition to stimulants, inhalants, depressants, and cannabis, psychoactive substances also include which of the following?
1)Dissociative anesthetics
2)Both A and C
3)Hallucinogens
4)Non-narcotics