Deck 17: Substance Use and Addictive Disorders

Question 1

You are completing the discharge plan for an alcoholic patient. Which support group for the patient should be included in the plan? _______________ _________________

Answer 1

Alcoholics Anonymous

Question 2

A teenager admits to you that he has been smoking marijuana. The nurse knows that marijuana is a(n):
1)Cannabis.
2)Amphetamine.
3)Hallucinogen.
4)Narcotic.

Answer 2

1

Question 3

Your patient has a long history of alcohol abuse. You know that denial is a frequently used defense mechanism. Which statement is indicative of denial?
1)"My father was a drinker, so I guess that led me to this."
2)"I can stop anytime I want, I just don't feel like it now."
3)"Drinking calms my nerves."
4)"I drink when my kids upset me."

Answer 3

2

Question 4

Randi is a young model. She had been taking high doses of amphetamines to keep her weight down. She recently decided to cut back on the drugs and she is now experiencing amphetamine withdrawal. Which of the following sets of symptoms of amphetamine withdrawal is Randi likely experiencing?
1)Chest pain, palpitations, and diaphoresis
2)Depression, vivid dreams, and confusion
3)Euphoria, hyperactivity, and hyperalertness
4)Diaphoresis, clammy palms, and diarrhea

Question 5

A young adult arrives in the after-hours clinic with dilated pupils, an elevated heart rate, extreme sensitivity to sounds around him, sense of being outside of his body, and fine tremors of the hands. The patient admits to recent use of an illegal street drug. As the nurse collecting this data, you suspect:
1)LSD.
2)"Crack" cocaine.
3)Amphetamines.
4)Sedatives.

Question 6

Your new patient is at risk for alcohol withdrawal. You know that alcohol withdrawal tends to develop within what period after the last drink?
4)More than 1 week

Question 7

The wife of your alcoholic patient has been attending Al-Anon meetings for the past 2 weeks. Which statement tells you the wife is benefitting from the meetings?
1)"I can tolerate his destructive behavior now that I see how bad other women have it."
2)"I realize that I provoke his drinking when I go out with my friends."
3)"I no longer feel that I have to tolerate his berating me."
4)"It is great to get out of the house and away from the tension."

Question 8

You find out that your schizophrenic patient is also using opioids to counteract the frightening hallucinations. What terms are used to describe this (Select all that apply)?
1)Dual diagnosis
2)Bipolar schizophrenia
3)Co-occurring disorder
4)Opioid-related schizophrenia
5)Schizophrenia: Addiction type

Question 9

What should be your response to the wife who says, "I should get out of this bad situation with his drinking"?
1)"That happened to me. It's best to get out while you can."
2)"Tell me more about the bad situation."
3)"Why don't you talk to your husband about his drinking?"
4)"You'll do what's right."

Question 10

You are caring for a patient who has a long history of alcohol abuse. Recently, this patient went on a 5-day drinking binge, of which she has no memory. This is an example of:
1)Selective memory.
2)Wernicke's syndrome.
3)Blackout.
4)Denial.

Question 11

Which of the following statements from an alcoholic patient reflects a good understanding of his or her condition?
1)"I will stick to wine or beer from now on."
2)"I'll be OK if my wife will just stop nagging me."
3)"I plan to take my sobriety one day at a time."
4)"I won't need alcoholics anonymous (AA) after I am sober for 1 year."

Question 12

Which drug cannot be given if the patient reports alcohol intake in the past 24 hours?
1)Chlorpromazine
2)Chlordiazepoxide
3)Disulfiram
4)Risperidone

Question 13

A new patient with a history of alcoholism is in the emergency department (ED) with agitation, vomiting, and tremors. He tells you he had his last drink 24 hours ago. Which medication would most likely be ordered?
1)Chlordiazepoxide
2)Disulfiram
3)Chlorpromazine
4)Naloxone hydrochloride

Question 14

Which of the following are signs of withdrawal from heroin?
1)Insomnia, muscle cramps, vomiting
2)Excessive sleeping, low blood pressure, depression
3)Seizures, brain damage, excessive sleeping
4)Lethargy, panic disorder, increased appetite

Question 15

Your patient tells you her husband has a serious drinking problem. Which statement tells you she may be in a codependent relationship?
1)"I've reached my limit with his drinking."
2)"I called his job and told them he was sick when he couldn't go to work."
3)"The kids are ashamed of their father. I feel bad about that."
4)"He is drinking less this week."