Deck 8: Substance Abuse

Question 1

A client states that the physician prescribed a tranquilizer for a sleep disorder.Upon reviewing the prescribed order,the nurse finds that tranquilizers are often referred to as which type of medication?
1)Sedatives
2)Cannabinoids
3)Alcohol
4)Hallucinogens

Answer 1

1

Question 2

A client asks the nurse what the two most commonly abused drugs are.Which response by the nurse is the most appropriate?
1)"LSD and marijuana."
2)"Alcohol and nicotine."
3)"Marijuana and nicotine."
4)"Alcohol and marijuana."

Answer 2

2

Question 3

The nurse is teaching about designer drugs.Which definition would the nurse include in the teaching plan?
1)A designer drug is created in an illegal laboratory solely for illegal drug trafficking.
2)A designer drug is made from a naturally occurring substance.
3)Alcohol is a designer drug.
4)A designer drug is less addictive than prescription medications.

Answer 3

1

Question 4

Which drugs were once used therapeutically and are now illegal because of a high potential for abuse? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)LSD
2)Barbiturates
3)Cocaine
4)Opioids
5)Ketamine

Question 5

A client presents in the Emergency Department with hallucinations,anxiety,and confusion.The client denies taking any illegal drugs in the past 48 hours.Based upon the assessment data,the nurse is aware that these symptoms can occur from which type of drug?
1)Hallucinogens
2)Barbiturates
3)Cannabinoids
4)Opioids

Question 6

The nurse is describing the differences between the different types of dependence and abuse.Which type of dependence causes uncomfortable symptoms when the drug is stopped?
1)Substance dependence
2)Physical dependence
3)Psychological dependence
4)Psychosocial dependence

Question 7

Which statement made by a client who smokes marijuana is not true?
1)"Marijuana makes me hungry."
2)"Marijuana does not increase the risk for lung cancer."
3)"Marijuana makes me paranoid."
4)"Marijuana makes me thirsty."

Question 8

A client arrives in the Emergency Department with a barbiturate overdose.The nurse expects which possible outcomes? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Decreased respirations
2)Tremors
3)Decreased level of consciousness
4)Cyanosis
5)Increased heart rate

Question 9

What is a biological condition that occurs when the body adapts to a substance after it is repeatedly administered,and a higher dose is needed to achieve the initial response?
1)Tolerance
2)Dependence
3)Addiction
4)Cross-tolerance

Question 10

The nurse is preparing to teach a client about addiction,dependence,and withdrawal.The nurse asks the client,"What is the progressive and chronic abuse of a substance caused by an overwhelming feeling that drives someone to use a drug repeatedly despite serious consequences?" Which answer,by the client,is appropriate?
1)Physical dependence
2)Addiction
3)Psychological dependence
4)Withdrawal

Question 11

A client is receiving treatment for opioid addiction.Which medication does the nurse anticipate to be prescribed to help treat this addiction?
1)Propoxyphene (Darvon)
2)Fentanyl (Druagesic)
3)Methadone (Dolphine)
4)Hydromorphone (Dilaudid)

Question 12

A client reports restlessness,nervousness,irritability,and insomnia.The client denies caffeine intake,but has been taking an OTC pain reliever for a headache.What is the best explanation by the nurse?
1)These symptoms indicate that the client is allergic to the OTC pain reliever.
2)These symptoms are normal side effects of a headache.
3)Caffeine is added to some OTC pain relievers.
4)These symptoms are normal side effects of OTC pain relievers.

Question 13

The nurse is caring for a client who has been admitted with an alcohol overdose.Which effects should the nurse expect when caring for this client? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Coma
2)Hypotension
3)Vomiting
4)Nausea
5)Increased respirations

Question 14

A client is concerned about becoming addicted to a prescription medication.The nurse is planning to teach the client a way to decrease this chance.What item should the nurse include in the teaching plan?
1)Prescribing the lowest effective dose for the shortest time necessary
2)Prescribing the highest dose possible for the shortest time necessary
3)Prescribing the highest dose possible for the longest time necessary
4)Prescribing the lowest effective dose for the longest time necessary

Question 15

The nurse is preparing to teach a group of clients from a pain clinic about addiction.The nurse wants to include the causes of addiction in the presentation.What item should the nurse include in the plan?
1)Any medication to treat pain
2)Only prescription drugs
3)A need for prescription pain medications
4)Only illegal drugs

Question 16

A client plans to enter a treatment facility for alcohol abuse.The client asks the nurse whether there are medications that can decrease the severity of withdrawal symptoms.According to the nurse,which drug is used for this purpose?
1)Marijuana
2)Methadone (Dolphine)
3)Bupropion (Wellbutrin)
4)Diazepam (Valium)

Question 17

The nurse is caring for a client who has been using barbiturates at high doses for a long period of time.What does the nurse expect when assessing this client? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Tremors
2)Tolerance
3)Psychological dependence
4)Physical dependence
5)Hallucinations

Question 18

A client asks the nurse why withdrawal syndrome occurs when some drugs are stopped.What is the best response by the nurse?
1)"This is a misconception.All abused substances cause withdrawal syndrome."
2)"Only illegal substances cause withdrawal syndrome."
3)"A substance must be abused for at least a year to cause withdrawal syndrome."
4)"Over time,the body's cells are tricked into believing it is normal for that substance to always be present,and when it is no longer present,the body experiences withdrawal syndrome."

Question 19

A client is admitted for alcohol intoxication.When assessing the client,which symptoms of alcohol abuse does the nurse anticipate?
1)Excessive sweating,restlessness,dilated pupils,agitation,goose bumps,tremors,decreased heart rate and blood pressure,nausea and vomiting,and abdominal cramps
2)Tremors,fatigue,anxiety,abdominal cramping,hallucinations,confusion,seizures,and delirium
3)Mental depression,anxiety,extreme fatigue,and hunger
4)Rarely observed

Question 20

A client arrives in the Emergency Department with an overdose from benzodiazepines.What circumstance would cause the nurse to anticipate death of this client?
1)Benzodiazepines combined with a CNS stimulant
2)Has never taken a benzodiazepine before
3)Took a high dose of benzodiazepines
4)Has taken a benzodiazepine with a CNS depressant

Question 21

A nurse is completing an assessment on a patient who had just returned from visiting with family in the hospital cafeteria.The nurse notices the patient has slow motor activity,is staring at the wall,and has bloodshot eyes.Which substance does the nurse suspect the patient has consumed?
1)Alcohol
2)Marijuana
3)Cocaine
4)Ketamine

Question 22

The nurse teaches a female client the importance of not smoking while taking oral contraceptives.Which statement by the client indicates understanding?
1)"I can only smoke half a pack per day."
2)"Smoking increases the risk of cardiovascular problems."
3)"There is no problem with smoking."
4)"I should stop smoking if I get pregnant."

Question 23

The caregiver of a school-aged child is telling the nurse the medication history.The caregiver tells the nurse that the child has attention-deficit/hyperactivity disorder and cannot recall the name of the medication.The nurse can expect the child to take which medication?
1)Caffeine
2)Benzodiazepine
3)Methylphenidate
4)Cocaine

Question 24

A nurse suspects that her co-worker is experiencing substance abuse.Which are the commonly abused legal substances abused by healthcare providers? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Alcohol
2)LSD
3)Prescription drugs
4)Cocaine
5)Cannabinoids

Question 25

The client will be receiving disulfiram (Antabuse)for 3 months.What is the priority teaching point at the time of discharge?
1)"Do not operate heavy machinery while taking this drug."
2)"It is very important to take this drug on an empty stomach."
3)"It is very important to take this drug with food."
4)"Do not drink any alcohol for 2 weeks after you stop this drug."

Question 26

The nurse is preparing a presentation for other healthcare providers about substance abuse.Which reasons for abuse should the nurse include? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Rotating shifts
2)Fatigue
3)Difficulty sleeping
4)Decreased demand for healthcare providers
5)Decreased tension related to the job

Question 27

Which are hallucinogens that are abused? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)LSD
2)PCP
3)Morphine
4)Alcohol

Question 28

The client has chronic alcoholism.Which lab test is most important for the nurse to evaluate?
1)Liver function test
2)Complete blood count
3)White blood count
4)Stool for occult blood

Question 29

Which is an important concept of drug tolerance?
1)Tolerance develops at the same rate for all actions of a drug.
2)Patients can become resistant to pain relievers.
3)A patient can become tolerant to other closely related substances.
4)Addiction is another word for tolerance.

Question 30

The client receives disulfiram (Antabuse)and asks the nurse what will happen if alcohol is consumed while taking this drug.What is the best response by the nurse?
1)"It really depends on how much alcohol you drink."
2)"Headache and nausea or vomiting are the most common effects."
3)"There is a good chance you will become very euphoric."
4)"Most people experience severe depression and suicidal thoughts."

Question 31

The client exhibits symptoms of dilated pupils,sweating,and tremors.Based on this nursing assessment,which category of drug does the nurse anticipate the client has ingested?
1)Alcohol
2)CNS stimulant
3)CNS depressant
4)Opioid