Deck 37: Alcohol, Tobacco and Other Drug Problems

Question 1

What does the term dependence refers to?

A) Presence and severity of withdrawal symptoms
B) Necessary use of drugs to prevent withdrawal symptoms
C) Level of intoxication associated with addiction
D) Amount of substance needed to satisfy cravings

Answer 1

Necessary use of drugs to prevent withdrawal symptoms

Question 2

The nurse is interviewing a client who reports that he drinks alcohol when snorting cocaine. Which of the following best describes what is happening with this client?

A) Drug addiction
B) Polysubstance use
C) Substance abuse
D) Indiscriminate drug use

Answer 2

Polysubstance use

Question 3

A nurse is caring for a client who has had long-term marijuana use. Which of the following physical effects is the priority concern to the nurse?

A) Constipation
B) Cardiac dysrhythmia
C) Abdominal pain
D) Respiratory tract damage

Answer 3

Respiratory tract damage

Question 4

Which statement about nicotine and smoking is accurate?

A) Cigars contain higher doses of nicotine than cigarettes.
B) Tolerance to nicotine takes days to develop.
C) Sidestream smoke contains more toxic compounds than mainstream smoke.
D) The harsher smoke of pipes and cigars is more hazardous than cigarette smoke.

Question 5

What is the most widely used federally prohibited drug in the United States?

A) Alcohol
B) Heroin
C) Cocaine
D) Marijuana

Question 6

The nurse is providing community health education about how alcohol affects the body. Which individual behavior would the nurse describe as being most likely to contribute to the lowest blood alcohol concentration?

A) Consuming a drink with a high concentration of alcohol
B) Drinking alcohol without consuming food
C) Being of the female gender
D) Having a high body weight

Question 7

The use of any substance that threatens a person's health or impairs his or her social or economic functioning is referred by what term?

A) Drug dependence
B) Substance abuse
C) Drug addiction
D) Illegal

Question 8

Which health problem causes more deaths, illnesses, and disabilities than any other in the United States?

A) Tobacco addiction
B) Alcohol abuse
C) Substance abuse
D) Caffeine addiction

Question 9

What is the oldest and most widely used psychoactive drug in the world?

A) Marijuana
B) Heroin
C) Alcohol
D) Cocaine

Question 10

What is the leading cause of preventable birth defects in the United States?

A) Cigarette smoking
B) Fetal alcohol syndrome
C) Marijuana use
D) HIV from sharing needles

Question 11

How much alcohol can the liver metabolize in an hour?

A) 1 oz of whiskey
B) 3 oz of wine
C) 5 oz of wine
D) 12 oz of beer

Question 12

A nurse is caring for a client who is experiencing a drug addiction. Which of the following is the client most at risk for having?

A) Infant with a high birth weight
B) Easily cured illness or disease
C) Accident or committing suicide
D) Problem finding employment

Question 13

A nurse is providing education to a parent-teacher organization about substance use and abuse among children. Which of the following information would the nurse most likely include in this presentation?

A) Inhalants are among the first drugs that young children use.
B) Implementing the Drug Abuse Resistance Education (DARE) program is the most effective way to prevent drug use.
C) Underage drinking is not a problem in most communities.
D) Early experimentation with substances decreases the likelihood of future abuse.

Question 14

A nurse is working with a client during a smoking cessation program. The client has developed an action plan for smoking cessation but has not yet implemented it. Which stage of change is the client experiencing?

A) Precontemplation
B) Contemplation
C) Preparation
D) Action

Question 15

Which factor has contributed to the problem of substance abuse?

A) Increased knowledge about the use of drugs
B) Social acceptability of certain drugs
C) Recognition of substance abuse as a health problem
D) Control of the content and strength of illegal drugs

Question 16

Why must nurses examine their attitudes about alcohol, tobacco, and other drug (ATOD) abuse and addiction before working with individuals with this health problem?

A) Working with clients who have addiction problems often puts the nurse at risk for violence.
B) The population of persons with drug and alcohol addiction is found in low-income neighborhoods.
C) To be therapeutic, a nurse must develop a trusting nonjudgmental relationship with clients.
D) Nurses are the primary persons who treat addiction problems.

Question 17

A client has not yet made a commitment to act to change personal health behaviors. Which stage of change is the client experiencing?

A) Precontemplation
B) Contemplation
C) Preparation
D) Action

Question 18

A school nurse is coordinating the implementation of a drug education program in the school. Which of the following levels of prevention is being implemented?

A) Primary level of prevention
B) Secondary level of prevention
C) Tertiary level of prevention
D) Primary health care prevention

Question 19

A nurse is providing care for a family in which a nonaddict is experiencing a stress-induced preoccupation with an addict's life, leading to extreme dependence on the addict. Which of the following best describes what is happening?

A) Obsession
B) Codependency
C) Enabling
D) Addiction

Question 20

What happened in the United States because of prohibition?

A) Substance abuse declined.
B) Violent crime and corruption increased.
C) The need for community health nurses declined.
D) Facilities to treat substance abuse improved.

Question 21

A nurse recommends to a school board that other methods besides the "just say no" approach be considered when providing drug use prevention education to the elementary students. Which of the following best describes the rationale for this recommendation?

A) Children do not like to hear the word "no," and the approach is too negative.
B) Project DARE is more effective and has decreased drug use.
C) Children are naturally curious and may experiment with drugs.
D) "Just say no" to drugs does not include smoking and alcohol abuse.

Question 22

A nurse has collected a urine specimen from a client for drug testing. Which of the following best describes the purpose of a urinalysis?

A) To assess whether a certain drug has been used in the recent past
B) To determine the degree of intoxication
C) To assess the extent of performance impairment
D) To determine how much alcohol was consumed

Question 23

A nurse is caring for adolescents who have experienced substance abuse. Which of the following should the nurse recognize as a major influence in this population?

A) Family-related factors
B) Positive media messages
C) Socioeconomic level
D) Peer pressure

Question 24

A nurse is giving advice using the acronym FRAMES. Which of the following actions would most likely be taken by the nurse?

A) Offer a suggestion as to how the behavior should change.
B) Provide clear guidance to change risky behavior.
C) Refer the client to a local support group.
D) Emphasize the need for others to support the client's change.

Question 25

A nurse is assessing the drug use patterns of a client. Which of the following questions would be most appropriate for the nurse to ask?

A) Where was the drug acquired?
B) Who gave the drug to you?
C) Why do you use the drug?
D) How often do you use the drug?

Question 26

A nurse partners with multiple agencies in the community to create a support group for those diagnosed with addiction in the community. Which of the following levels of prevention is being implemented?

A) Primary
B) Secondary
C) Tertiary
D) Health promotion

Question 27

A nurse is assessing a client for addiction. Which of the following primary symptoms of addiction should the nurse recognize?

A) Anger
B) Apathy
C) Denial
D) Violence

Question 28

A nurse is caring for a client who has a history of chronic alcohol abuse. Which of the following medical problems should the nurse anticipate? (Select all that apply.)

A) Gastrointestinal disturbances
B) Cardiac dysrhythmias
C) Depression
D) Organic brain syndrome
E) Hepatitis B

Question 29

A nurse lobbies with legislators for the passage of legislation to prohibit smoking of tobacco products in public places. Which of the following levels of prevention is being implemented?

A) Primary
B) Secondary
C) Tertiary
D) Health promotion

Question 30

A nurse is implementing the harm reduction model. Which of the following will be the focus of nurse when using this approach?

A) Education
B) Law enforcement
C) Scare tactics
D) Rehabilitation

Question 31

A nurse is providing comprehensive education about HIV transmission for an injection drug user (IDU). Which of the following would be the most important information to include?

A) How and where to acquire needles
B) Proper needle usage and possible injection sites
C) Spreading of the virus via homosexual activities
D) Using bleach between needle uses

Question 32

A nurse is assessing the community for potential settings of drug experiences. Which of the following describes what the nurse would most likely identify?

A) A back alley or abandoned building where people are using crack.
B) An area at the local high school where students are known to smoke cigarettes.
C) The individuals using the drug, including that individual's expectations.
D) The physical, social, and cultural environment within which the use occurs.

Question 33

A nurse refers a client to alcoholics anonymous (AA). Who will play the most important role in the treatment of alcoholism at this support group?

A) Self
B) Spouses
C) Children
D) Peers