Deck 41: Substance Abuse and Women

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.)

A) Drinking a glass of wine every day
B) Developing cirrhosis of the liver due to excessive drinking
C) Being charged with three driving under the influence within a year
D) Having a hangover after a long night out drinking with friends
E) Being fired from a job after missing several days of work in row due to drinking

Answer 1

B, C, E

Question 2

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

A) 8%
B) 16%
C) 24%
D) 36%

Answer 2

A

Question 3

What percentage of women reported tobacco smoking in 2014?

A) 8%
B) 16%
C) 24%
D) 36%

Answer 3

B

Question 4

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

A) Age
B) Sex
C) Body mass index (BMI)
D) Ethnicity
E) Family history

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?

A) Lack of social support
B) Parental substance misuse
C) Being pregnant
D) Easy access to substances

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.)

A) Julie began smoking cannabis because all of her friends were doing it
B) Julie has tried several times unsuccessfully to cut down her use to just a few days per week
C) Julie admits that she has a constant craving to smoke cannabis
D) Julie has given up playing the piano because of her cannabis smoking
E) Julie often fights with her husband over how much money she has spent on cannabis

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.)

A) Arianna typically has two drinks when she goes out with her friends
B) Arianna has gone from being a straight-A student to failing three classes since she started drinking 6 months ago
C) Arianna has experienced headaches, nausea, tremors, and anxiety when she has tried to stop drinking
D) Arianna starts feeling buzzed after just one beer
E) Arianna has passed out from drinking on several occasions

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.)

A) The name of the dealer the client bought the substance from
B) The triggers that contribute to the client using the substance
C) The age of the client on first use of the substance
D) How frequently the client uses the substance
E) How much money the client has spent on the substance

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.)

A) Orientation to time, place, and person
B) Alertness
C) IQ
D) Memory
E) Visual acuity

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.)

A) Increased potassium level
B) Increased total cholesterol level
C) Increased triglycerides level
D) Increased aspartate aminotransferase/alanine aminotransferase (AST/ALT) ratio
E) Increased ammonia level

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?

A) Contingency management
B) Cognitive behavioral therapy
C) Screening, brief intervention, and referral to treatment (SBIRT)
D) Motivational interviewing

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?

A) Contingency management
B) Cognitive behavioral therapy
C) SBIRT
D) Motivational interviewing

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?

A) Disulfiram
B) Methadone
C) Bupropion
D) Varenicline

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?

A) Disulfiram
B) Methadone
C) Bupropion
D) Varenicline

Question 15

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

A) Educate and prepare health care providers to more effectively assess women for substance use
B) Avoid using stigmatizing language when working with women with substance-use disorders
C) Advocate for unisex treatment approaches to substance-use disorders
D) Urge the pharmaceuticals industry to improve the safety of their products for women
E) Focus on the needs of women veterans