Question 1

According to the definition of a substance-use disorder, which of the following would indicate an alcohol-use disorder in a client? (Select all that apply.)

Accepted Answer

Substance-use disorders, including alcohol-use disorder, are characterized by a pattern of behavior that significantly impairs one's functioning and health. Developing cirrhosis of the liver due to excessive drinking (B), being charged with DUI multiple times within a short period (C), and losing a job due to absenteeism related to drinking (E) all indicate significant impairment and consequences directly related to alcohol use, fitting the criteria for an alcohol-use disorder. Drinking a glass of wine daily (A) or having a hangover after a single occasion (D) does not necessarily indicate a disorder without further context of impairment or distress.

Question 2

What percentage of young women aged 12 to 17 years report current use of any illicit substance?

Accepted Answer

According to recent surveys and studies, approximately 8% of young women aged 12 to 17 report current use of any illicit substance.

Question 3

What percentage of women reported tobacco smoking in 2014?

Accepted Answer

B

Question 4

Which of the following are biological risk factors associated with substance-use disorders? (Select all that apply.)

Accepted Answer

The answer of Which of the following are biological risk...

Question 5

Which of the following is a protective factor associated with substance-use disorders-that is, a factor that reduces the risk of developing a substance-use disorder?

Accepted Answer

Being pregnant can act as a protective factor against substance-use disorders for some individuals, as the awareness of the potential harm to the fetus can motivate a reduction or cessation in substance use.

Question 6

Julie tells her nurse that she uses cannabis daily to manage stress but doesn't think she has a problem with it. The nurse, however, decides to question Julie a little more. On the basis of the Diagnostic and Statistical Manual, fifth edition (DSM-5) diagnostic criteria, which of the following findings would indicate that Julie has cannabis-use disorder? (Select all that apply.)

Accepted Answer

The DSM-5 criteria for substance use disorders, including cannabis-use disorder, involve a pattern of behaviors indicating impaired control, social impairment, risky use, and pharmacological criteria. B) Julie's unsuccessful attempts to cut down, C) constant craving, D) giving up important activities, and E) recurrent social or interpersonal problems related to use, all align with these criteria, indicating a possible cannabis-use disorder.

Question 7

Arianna is concerned that she may have a drinking problem and shares this with her nurse. The nurse asks about her alcohol use and reviews her health history. On the basis of the Diagnostic and Statistical Manual, fifth edition (DSM-5) diagnostic criteria, which of the following findings would indicate that Arianna has alcohol-use disorder? (Select all that apply.)

Accepted Answer

B) A significant decline in school or work performance can indicate that alcohol use is negatively impacting major areas of one's life, a criterion for alcohol-use disorder. C) Experiencing withdrawal symptoms such as headaches, nausea, tremors, and anxiety when trying to stop drinking is a clear indicator of alcohol dependence, part of the diagnostic criteria for alcohol-use disorder. E) Experiencing repeated blackouts or passing out from drinking suggests a pattern of excessive alcohol use, which is a criterion for diagnosing alcohol-use disorder.

Question 8

While the nurse is screening a client for substance use, the client admits to currently using a substance. What further information should the nurse gather about the client's substance use? (Select all that apply.)

Accepted Answer

Understanding the triggers for substance use (B), the age of first use (C), and the frequency of use (D) are all important for assessing the client's level of substance dependence and for planning appropriate interventions. The name of the dealer (A) and the amount of money spent (E) are less relevant for clinical care and could potentially breach confidentiality or trust.

Question 9

A nurse is conducting a mental status assessment on a client suspected of being under the influence of a narcotic. Which of the following should the nurse include in this assessment? (Select all that apply.)

Accepted Answer

Orientation to time, place, and person, alertness, and memory are all important components of a mental status assessment.

Question 10

The nurse is looking over laboratory test results for a client who is being screened for alcohol-use disorder. What findings would be consistent with excessive alcohol use? (Select all that apply.)

Accepted Answer

Excessive alcohol use can lead to increased triglycerides, an increased AST/ALT ratio (often greater than 2:1), and increased ammonia levels due to liver dysfunction.

Question 11

A nurse rewards a client who has a substance-use disorder every time she has a negative drug screen by letting her draw a prize from a fishbowl in the office. This type of intervention is known as which of the following?

Accepted Answer

Contingency management is a behavioral therapy technique that involves providing tangible rewards for positive behaviors such as abstinence from substance use. In this scenario, the nurse rewards the client with a prize for each negative drug screen, which is a classic example of contingency management.

Question 12

A nurse is helping a client with an opioid-use disorder learn to identify the dysfunctional thought patterns that lead her to use opioids and replace them with healthier, more effective thoughts. Which type of intervention is this example?

Accepted Answer

This example describes Cognitive Behavioral Therapy (CBT), a type of psychotherapy that helps individuals recognize and change dysfunctional thought patterns and behaviors. In the context of opioid-use disorder, CBT aims to help the client identify triggers for drug use and develop healthier coping mechanisms.

Question 13

A nurse is planning on prescribing a medication to a client who has an addiction to oxycodone. Which of the following is a medication approved by the Food and Drug Administration for treating opioid-use disorder?

Accepted Answer

Methadone is approved by the Food and Drug Administration (FDA) for the treatment of opioid-use disorder. It helps reduce withdrawal symptoms and cravings in individuals addicted to opioids like oxycodone.

Question 14

A nurse is planning on prescribing a medication to a client who is a recovering alcoholic. Which of the following is a medication approved by the Food and Drug Administration for treating alcohol-use disorder?

Accepted Answer

Disulfiram is approved by the Food and Drug Administration (FDA) for treating alcohol-use disorder. It works by causing unpleasant effects when alcohol is consumed, thereby discouraging alcohol intake. Methadone is used for opioid dependence, bupropion is an antidepressant that can also help with smoking cessation, and varenicline is specifically approved for smoking cessation.

Question 15

Which of the following are among future goals related to treating women with substance-use disorders? (Select all that apply.)

Accepted Answer

The answer of Which of the following are among future...

Quiz 41: Substance Abuse and Women