Deck 7: Substance Use in the Context of Health Assessment

Question 1

Gender,as a social determinant of health,places women more at risk of substance misuse problems.Which of the following is true in relation to women and substance use?

A)Women are perceived as being more in control.
B)Women receive harsher legal sentences than men.
C)Women who are mothers are rarely sent to jail for drug use.
D)Women are less sexually promiscuous than their male counterparts.

Answer 1

Women receive harsher legal sentences than men.

Question 2

Which of the following statements is false in relation to substance use?

A)Substance use is a recreational activity.
B)Many people use substances to feel numb.
C)Violence decreases with an increase in substance use.
D)Sometimes people use substances to "feel normal."

Answer 2

Violence decreases with an increase in substance use.

Question 3

When administering the TWEAK questions as part of the nursing health assessment,which letter in the acronym directs the nurse to ask "Do you sometimes feel the need to cut down on your drinking"?

A)T
B)W
C)E
D)K

Answer 3

K

Question 4

Which is one of the 5 As for integrating knowledge of substance use in health assessment?

A)Assess own values and attitudes.
B)Avoid social judgement.
C)Assume that substance use is a choice.
D)Anticipate social behavioural problems.

Question 5

Which of the following is a key assumption about substance use that must be challenged?

A)Cannabis should be legalized.
B)Use is a matter of personal choice.
C)The war on drugs is important.
D)Harm-reduction strategies are effective.

Question 6

Who has the greatest chance of success in a substance misuse treatment program?

A)A 22-year-old female who misuses alcohol and tobacco
B)A 38-year-old male who misuses heroin and tobacco
C)A 62-year-old female who misuses alcohol and marijuana
D)A 43-year-old single mother of three school-aged children who misuses alcohol

Question 7

Which following substance is on the decline for use among those aged 15 years and older?

A)Alcohol
B)Cannabis
C)Crystal methadone
D)Tobacco

Question 8

According to Health Canada's low-risk alcohol drinking guidelines,which one of the following individuals would be classified as low risk?

A)A 22-year-old male who has 15 beers over the course of a week.
B)A 62-year-old female who has three glasses of wine with her evening meal,every night.
C)A 39-year-old male who has four beers after work every day during the week and does not consume alcohol on the weekends.
D)A 19-year-old female who drinks 12 alcoholic cooler beverages on the weekends.

Question 9

It is critical for nurses to remain focused on which one of the following,in relation to substance use?

A)Prevalence
B)Health promotion
C)Law enforcement
D)Social determinants of health

Question 10

An example of a harm-reduction strategy is:

A)posted speed limit signs.
B)tobacco advertising.
C)helmet use on bicycles.
D)raising the legal age for alcohol consumption.

Question 11

Which of the following are demonstrating an increase in tobacco use?

A)Adolescents
B)Females
C)Low-income populations
D)High-socioeconomic-status families

Question 12

Which of the following is the term that describes the use of substances as defined in the Diagnostic and Statistical Manual of Mental Disorders,5th edition (DSM-V)?

A)Substance abuse
B)Substance dependence
C)Substance addiction
D)Substance use

Question 13

According to the Canadian Nurses Association,which of the following is a principle of harm reduction?

A)Harm reduction focuses on reducing harm associated with a narrow range of substances.
B)Harm reduction requires abstinence and discontinuation of substance use.
C)Harm reduction is the opposite of prevention and treatment approaches.
D)Harm reduction requires substance users to participate in policy making and program development.

Question 14

Which is one of the most influential determinants of substance use patterns?

A)Parental patterns of use
B)Peer group substance usage
C)Social acceptability
D)Gender

Question 15

One of the three action plans in Canada's Anti-Drug Strategy is:

A)preventing dependency on prescription drugs.
B)harm-reduction needle exchange centers.
C)employee assistance programs for health care providers.
D)combating the distribution of illicit drugs.

Question 16

In response to data collection related to the use of needles and illicit substances,a patient has told the nurse that she "shoots up every day" and then asks the nurse why it is important that she know that.The nurse's response is based upon knowledge about which of the following?

A)People who use needles need to ensure that the needles are sterile.
B)Liver function tests should be assessed for people who inject illicit substances.
C)Blood testing for some infections can be offered if the nurse is aware of injection substance use.
D)A more in-depth mental health assessment is required for people who inject illicit substances.

Question 17

Social attitudes toward which one of the following have become increasingly less tolerant in Canada?

A)Alcohol use
B)Marijuana use
C)Tobacco use
D)Gambling

Question 18

Which statement is true in relation to the CAGE questionnaire?

A)It takes about 5 minutes to administer.
B)It has 20 closed-ended questions.
C)It does not distinguish past problem drinking from active present drinking.
D)It is reliable and valid to use on any nationality and both genders.

Question 19

Approximately how many Canadians aged 15 years and older consume alcohol?

A)50%
B)60%
C)70%
D)80%

Question 20

When beginning the substance use section on a history-taking health assessment,what is the best initial question for the nurse to ask?

A)"Do you use any illegal substances?"
B)"Do you drink alcohol?"
C)"How much alcohol do you drink?"
D)"Many people use marijuana;is this something you have tried?"

Question 21

Which of the following is a symptom of cocaine withdrawal?

A)Insomnia
B)Nausea and vomiting
C)Lacrimation
D)Malaise

Question 22

A pregnant woman has just told you that she is smokes marijuana daily and snorts cocaine regularly.Which should the nurse do in relation to this information?

A)Complete a referral to Child Protection Services.
B)Ask the woman to stop substance use while she is pregnant.
C)Phone the doctor to obtain an order for methadone for the woman.
D)Maintain confidentiality,and use discretion when charting this information.

Question 23

Which one of the following is an objective sign of alcohol intoxication?

A)Nystagmus
B)Relief of anxiety
C)Impaired memory
D)Depression

Question 24

When administering the TWEAK questions as part of the nursing health assessment,which letter in the acronym directs the nurse to ask,"Has a friend or family member ever told you about things you said or did that you could not remember?"

A)T
B)W
C)E
D)A

Question 25

Which of the following would the nurse expect to assess in a patient who has just taken heroin via injection?

A)Dilated pupils
B)Hypertension
C)Bradycardia
D)Sweating