Deck 11: Substance Use and the Health of Communities

Question 1

To find out how much alcohol a patient consumes, a nurse asks about which of the following?

A)Quantity of alcohol consumed
B)Frequency of alcoholic beverage consumption
C)Duration of use
D)All of the above

Answer 1

All of the above

Question 2

During a class lecture, a nursing student learned that which of the following are considered psychoactive substances?

A)Depressants
B)Stimulants
C)Both A and B
D)Antidepressants

Answer 2

Both A and B

Question 3

A nurse working on a maternity unit became concerned when one of the pregnant patients admitted to smoking. Which of the following adverse effects might eventually affect her unborn child?

A)Low birth weight
B)Increased risk for sudden infant death syndrome (SIDS)
C)Both A and B
D)Lower rates of asthma

Answer 3

Both A and B

Question 4

A school nurse working at a high school puts together a school wide program to educate teens about the harm associated with alcohol use. What level of intervention is this?

A)Universal level of prevention
B)Selective level of prevention
C)Indicated level of prevention
D)None of the above

Question 5

A public health nurse (PHN) researching risk factors for mortality found that ____ and ____ are among the top ten.

A)Alcohol, tobacco
B)Heroin, tobacco
C)Cannabis, alcohol
D)Heroin, cannabis

Question 6

When a community health nurse conducts an assessment of tobacco-related harm at the population level, she should include which of the possible indicators?

A)Prevalence of childhood asthma
B)Prevalence of chronic obstructive pulmonary disorders
C)Prevalence of lung cancer
D)All of the above

Question 7

A nurse researching drug use for a new job at a community clinic learns that the number one psychoactive drug used in the United States as of 2010 is:

A)Cocaine.
B)Hallucinogens.
C)Marijuana.
D)Inhalants.

Question 8

An emergency department (ED) nurse wants to put together a comprehensive screening program for substance use. When choosing a screening tool for drug use, which of the following might she suggest to the team?

A)The DAST-10
B)Both A and C
C)The National Institute on Drug Abuse (NIDA) ASSIST tool
D)The AUDIT

Question 9

Nurses in a student health clinic used a program called Brief Alcohol Screening and Intervention for College Students (BASICS) to help students make better alcohol use decisions. The BASICS program consists of:

A)Two one-hour interviews.
B)Both A and C.
C)A feedback profile.
D)An alcohol breathalyzer test.

Question 10

Nurses at a local trauma center were involved in evaluating their hospital's screening program for at-risk alcohol use. Which of the following steps were part of their plan?

A)Review files on patients admitted with a possible alcohol-related injury.
B)Evaluate the current screening system in use on their unit.
C)Review current screening techniques used in other hospitals.
D)All of the above

Question 11

A PHN preparing a proposal on prevention of overdose deaths for the community is worried about the stigma attached to those who use drugs. She understands that stigma:

A)Is a perception that risky substance use is a personal choice and consequences are self-inflicted.
B)Both A and C.
C)Continues to be a barrier for entrance into treatment for the person with a substance use disorder.
D)Encourages persons with a drug use disorder to seek treatment.

Question 12

A 20-year-old man presents to the emergency room with tactile hallucinations, appears euphoric, tremulous, anorexic, and has dilated pupils. The nurse who examines him discovers that the patient used which drug?

A)Methamphetamine
B)Cocaine
C)Alcohol
D)None of the above

Question 13

A PHN follows which of these guiding principles on harm reduction when helping clients who are substance users?

A)Clients are responsive to culturally competent, non-judgmental services delivered in a manner that demonstrates respect for individual dignity, personal strength, and self-determination.
B)Service providers are responsible to the wider community for delivering interventions which attempt to reduce the economic, social, and physical consequences of drug- and alcohol-related harm and harms associated with other behaviors or practices that put individuals at risk.
C)Because those engaged in unsafe health practices are often difficult to reach through traditional service venues, the service continuum must seek creative opportunities and develop new strategies to engage, motivate, and intervene with potential clients.
D)All of the above

Question 14

A team of nurses for a medical surgical unit have been assigned to develop an alcohol screening and brief interventions (SBI) program for their department. Which of the following steps should they take during the development stage?

A)Review current alcohol SBI recommendations from the Joint Commission on Accreditation.
B)Develop a plan to train health-care personnel on the use of the alcohol SBI.
C)Both A and B.
D)Conduct a process evaluation.

Question 15

Which of the following influenced policy-level interventions that led to reduction in tobacco use in the United States?

A)World War II (WWII)
B)The first Surgeon General's report on smoking and health
C)The Great Depression
D)All of the above

Question 16

A student nurse studying substance use learns that in addition to stimulants, inhalants, depressants, and cannabis, psychoactive substances include which of the following?

A)Dissociative anesthetics
B)Both A and C
C)Hallucinogens
D)Non-narcotics

Question 17

A nurse studying harm associated with substance use learns that alcohol is a causal factor in over ____ types of diseases and injuries.

A)200
B)80
C)60
D)10

Question 18

To help smoking patients improve their health, a nurse uses which of the following smoking cessation strategies?

A)Advise all tobacco users to quit.
B)Assist tobacco users with a quit plan.
C)Both A and B
D)None of the above