Deck 5: Nursing Care of People With Problems of Substance Misuse

Question 1

A person tells the nurse, 'I seem to need one more drink each night after work, just to unwind.' Which condition is this person describing?

A)Cross-tolerance.
B)Tolerance.
C)Physical dependence.
D)Co-dependence.

Answer 1

Tolerance.

Question 2

Which is a manifestation of gamma-hydroxybutyrate (GHB)withdrawal?

A)Bradycardia.
B)Anorexia.
C)Headache.
D)Paranoia.

Answer 2

Paranoia.

Question 3

Which manifestation is associated with cocaine withdrawal?

A)Vivid dreams.
B)Constricted pupils.
C)Excessive lacrimation.
D)Numbness of the extremities.

Answer 3

Vivid dreams.

Question 4

A person withdrawing from a drug is experiencing hallucinations. Which nursing diagnosis is appropriate for this person?

A)Disturbed thought processes.
B)Deficient knowledge.
C)Imbalanced nutrition.
D)Low self-esteem.

Question 5

A 76-year-old man who used to run a bar and restaurant comes into the clinic with progressive numbness and tingling of all four extremities. For which health problem should this person be evaluated?

A)Psychological dependence.
B)Co-occurring disorders.
C)Tolerance.
D)Korsakoff's psychosis.

Question 6

A person has been diagnosed with alcoholism that is causing him to be depressed. What does this diagnosis indicate?

A)Co-dependence.
B)Tolerance.
C)Kindling.
D)A dual disorder.

Question 7

The nurse unit manager has been alerted to an unusually high number of 'wasted' narcotics in the ward area. Which action should the manager take in response to this finding?

A)Introduce an educational program provided to all staff about narcotic use.
B)Nothing, as this could be a normal occurrence.
C)Review the records to see which persons were prescribed the wasted narcotics and interview them.
D)Realise that a substance abuse problem may be occurring with a staff member and begin closer observation.

Question 8

The nurse learns that there are multiple ways for organic solvents to gain entry into the body. They are which of the following? (Select all that apply.)

A)Swallowing.
B)Sniffing.
C)Bagging.
D)Huffing.

Question 9

The family of a person with a crystal methamphetamine addiction is concerned because the person is excessively fatigued, sleeping, and has a voracious appetite. How should the nurse respond to these concerns?

A)'This is normal while withdrawing from this drug.'
B)'Give the person hot black coffee to keep him awake.'
C)'Try to keep the person awake and take him to an emergency room if sleeping continues.'
D)'Prevent the person from eating.'

Question 10

A person recalls 'feeling funny' after taking a few sips of a drink at a night club and later remembers that she was raped. Which drug should the nurse suspect this person had been given?

A)Benzodiazepine.
B)Ecstasy.
C)Cannabis.
D)Cocaine.

Question 11

Which assessment finding is associated with a ketamine overdose?

A)Seizures.
B)Dilated pupils.
C)Raised blood pressure.
D)Numbness.

Question 12

A person sitting in an air-conditioned waiting room is experiencing excessive lacrimation, rhinorrhoea, yawning and diaphoresis. The nurse should suspect this person is experiencing withdrawal from which substance?

A)Ketamine.
B)Diazepam.
C)Marijuana.
D)Heroin.

Question 13

The nurse is interviewing a person who denies having a long-standing history of alcohol and drug use. Which action should the nurse take to gain information and direct care?

A)Request an inpatient evaluation.
B)Refer to a psychologist.
C)Utilise the MAST questionnaire.
D)Confront the person.

Question 14

Which manifestation may be assessed in a person experiencing opioid withdrawal?

A)Sleepiness.
B)Dilated pupils.
C)Increased appetite.
D)Joint pain.

Question 15

A person who was sexually abused as a child tells the nurse, 'I just like to try different drugs recreationally.' Which phrase of the following is most likely correct about this person? The person:

A)has a mental illness.
B)wants to fit into her peer group.
C)has an addictive personality.
D)has low self-esteem and difficulty expressing emotions.

Question 16

Which is an adverse effect of marijuana use?

A)Loss of appetite.
B)Constricted pupils.
C)Hot flushes.
D)Anxiety.

Question 17

A 35-year-old person with a history of barbiturate abuse tells the nurse that she 'likes to have a few drinks with friends.' This person is at risk of which condition?

A)Co-dependence.
B)Dual disorders.
C)Delirium tremens.
D)Cross-tolerance.

Question 18

The spouse of a newly admitted person warns the nurse about the person's' behaviour because of recent heavy alcohol intake. For which health problem should the nurse plan care?

A)Tolerance.
B)Co-occurring disorder.
C)Substance dependence.
D)Substance-induced disorder.

Question 19

A person tells the nurse that a newly prescribed medication will cause symptoms of physical illness if taken with alcohol. Which medication should the nurse realise this person has been prescribed?

A)Disulfiram (Antabuse).
B)Oxazepam (Serepax).
C)Phenytoin (Dilantin).
D)Sertraline (Zoloft).

Question 20

A pregnant woman smokes to avoid weight gain. How should the nurse instruct this person about smoking during pregnancy?

A)'It will prevent some weight gain.'
B)'In moderation it will not harm the infant.'
C)'It can cause low birth weight in the infant.'
D)'It doesn't prevent weight gain.'