Deck 24: Alcohol, Tobacco, and Other Drug Problems in the Community

Question 1

Which of the following approaches has research suggested is the most effective way to approach drug addiction?

A)Criminal justice system
B)Harm reduction
C)Punishment approach
D)Substance abuse education

Answer 1

Harm reduction

Question 2

Students at first-day orientation at the local community college are discussing alcohol and drug abuse with their freshmen advisor. During a break, some students go outside for soft drinks and snacks. Soon after, the advisor walks by and notices several of these students smoking cigarettes. Based on this, which of the following topics of the drug and alcohol orientation would be most important for the advisor to reemphasize after the break?

A)A discussion of which drugs are commonly used on campus
B)How students can learn to "just say no" when offered drugs or drinks
C)How to recognize and overcome peer pressure to continue bad habits
D)The fact that tobacco smoking causes more deaths than any other behavior in the United States

Answer 2

The fact that tobacco smoking causes more deaths than any other behavior in the United States

Question 3

A client requests help to stop smoking. Which of the following methods would be the best for the nurse to suggest to the client?

A)A combination of interventions, beginning with changing the environment
B)Acupuncture to reduce the nicotine cravings
C)Behavior modification through hypnosis
D)Nicotine replacement products

Answer 3

A combination of interventions, beginning with changing the environment

Question 4

A woman has just delivered a baby and is lamenting that the baby's father is not with her. She shares with you that he became involved with drugs and is now in prison for theft. The new mother says, "It's so sad. He's clearly no good." Which of the following would be the best response by the nurse?

A)"I'm so sorry to hear that. Is your mother able to be with you?"
B)"It's good that you and the baby are safe from him."
C)"Is there anyone to help you with the baby until the baby's father can be released and encouraged to get treatment for his addiction?"
D)"You must hate him for leaving you alone with a new baby!"

Question 5

A school nurse stops a student in the hall and asks whether the student has been having trouble with her eyes, which look rather red and dry. The female student yawns and says that she hasn't noticed any eye problems. However, she does confess to the school nurse that she has gained 15 pounds since she began smoking "special cigarettes." Which of the following is the student most likely smoking?

A)Tobacco
B)Crack cocaine
C)Ice methamphetamine
D)Marijuana

Question 6

A man who takes a prescribed narcotic for pain on a regular basis reports that he does not like the way the medicine makes him feel. He has tried to change to an alternate analgesic but experienced withdrawal symptoms when he stopped taking the narcotic. Which of the following problems is the man experiencing?

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

Question 7

Which of the following addictive drugs is both legal and culturally acceptable throughout almost all of the United States?

A)Beer
B)Caffeine
C)Cigarettes (nicotine)
D)Mixed alcoholic beverages

Question 8

A movie shows a woman and a man having a contest to see who can drink more shots of whiskey. Who is more likely to "win" the drinking contest when the other passes out and cannot continue?

A)If their drinks are the same size, they'll both pass out about the same time.
B)If they play fair, they'll probably both vomit before passing out.
C)The man will win.
D)The woman will win.

Question 9

A home health nurse believes a client may be a drug addict. However, the client denies the use of drugs when questioned by the nurse. Which of the following is the most likely cause of the client's denial?

A)Confusion resulting from dementia
B)History of compulsive lying
C)Mental status changes
D)Use of addictive drugs

Question 10

Three women were brought to the emergency department by ambulance after a two-car accident at a busy intersection. Which of the following tests should automatically be done under such circumstances?

A)Alcohol blood level
B)Cardiac workup
C)Pregnancy test
D)STD tests

Question 11

A man is addicted to alcohol. In which of the following scenarios is a family member enabling the man to continue drinking?

A)The wife asks the nurse to explain why her husband's continued drinking is dangerous.
B)The son threatens to leave home because he finds the father's behavior embarrassing.
C)The teenage daughter turns to a favorite teacher for emotional support.
D)The wife tells her husband's boss that her husband is sick when he is actually inebriated.

Question 12

A home health client has been taking 50 mg of meperidine, a narcotic analgesic, every 4 hours for pain. Which of the following statements made by a nurse to the client's physician indicates a need for further education on narcotics?

A)"You need to decrease the time interval between doses to every 3 hours so that my client will maintain pain relief."
B)"You need to discontinue that order before my client becomes addicted."
C)"You need to increase the meperidine so that my client will achieve adequate pain relief."
D)"You need to give my client something in addition to the meperidine."

Question 13

A school health nurse is asked by a parent group to explain risk factors for alcoholism. Which of the following information should the nurse include?

A)Alcoholism is determined primarily by the family environment.
B)Alcoholism is determined partly by genetic factors.
C)Persons who are alcoholics are usually women.
D)Persons born with fetal alcohol syndrome are alcoholics from birth.

Question 14

Which of the following statements accurately describes why methadone is used to treat heroin addiction?

A)Addicts come to prefer methadone instead of heroin.
B)Methadone blocks the effects of heroin and reduces the craving.
C)Methadone prevents further dependence on drugs.
D)Methadone gives an enjoyable high, so addicts continue treatment.

Question 15

Which of the following is an accurate concern about the use of marijuana?

A)Marijuana has painful withdrawal symptoms.
B)Marijuana may damage the respiratory tract.
C)Marijuana can often reduce pain but physicians refuse to prescribe it.
D)Marijuana quickly leads to psychological and physiological dependence.

Question 16

A nurse is reviewing with a client the importance of the diabetic diet to maintaining control of blood glucose levels. The client states, "I went to the classes and learned how to count carbohydrates. I have even started to write down what I eat for each meal." Which of the following would be most appropriate response from the nurse?

A)"I'm so glad you're beginning to recognize the need to control your blood sugar."
B)"Now you just have to make sure you don't give that habit up!"
C)"Sounds like you're not ready to really plan your eating yet."
D)"That is great. You've started to take action and make changes."

Question 17

A teacher sends a student to the school nurse because the student does not seem to be thinking clearly. The nurse notes that the student is having palpitations, as well as elevated pulse, blood pressure, temperature. Which of the following would most likely cause these symptoms?

A)Alcohol
B)Ecstasy (MDMA)
C)Heroin
D)Marijuana

Question 18

A nurse sees the father of a newborn baby push his wife in a wheelchair out onto the patio. The man and woman each smoke a cigarette while the baby sleeps in the mother's arms. Which of the following information should the nurse share with the parents?

A)Fetal nicotine syndrome may cause complications in the newborn.
B)The sidestream smoke that the baby is exposed to is more dangerous than the mainstream smoke that the parents are inhaling themselves.
C)The baby will eventually develop tolerance to tobacco smoke.
D)The parents should switch to chewing tobacco as long as the child lives in the home.

Question 19

At a county board meeting, a nurse reports statistics on drug use in the school. The nurse then requests funding for an after-school recreation program that promotes age-appropriate fun activities and sports. Which of the following objectives is the nurse attempting to meet through this action?

A)Help prevent obesity and boredom.
B)Offer alternatives to being "on the streets."
C)Prevent children from getting in trouble before their parents get home from work.
D)Promote healthy lifestyles with physical activity.

Question 20

A male IV drug abuser admits to the nurse that he has no desire to stop using drugs, so rather than lecture him on the dangers of drug addiction, the nurse counsels him on how to sterilize his needles. Which of the following prevention efforts is the nurse attempting to achieve? (Select all that apply.)

A)Primary prevention by educating about safe injections
B)Primary prevention by avoidance of future legal complications
C)Secondary prevention to reduce the risk for infection or other complications
D)Tertiary prevention to reduce the transmission of blood-borne diseases

Question 21

A nurse is screening a client for ATOD problems. Which of the following actions would the nurse most likely complete? (Select all that apply.)

A)Assist with identifying help or resources.
B)Advise about the need to enter a treatment program.
C)Ask about how relationships with family members and friends have been affected.
D)Assess amount and pattern of use.

Question 22

A school health nurse is conducting drug screening to detect drug use by students before problems develop. Which of the following levels of prevention does this action represent?

A)Primary prevention
B)Secondary prevention
C)Tertiary prevention
D)Primary and secondary prevention

Question 23

A nurse is helping a client's family prepare to have an intervention that hopefully will encourage the alcoholic father to realize the need for change. Which of the following instructions by the nurse to the client's family members would be most effective? (Select all that apply.)

A)"Express your love and your belief that he can change."
B)"Point out that his behavior is his choice and his responsibility."
C)"Let him know that you understand how much he loves being with his drinking pals and that you agree that their friendship is important."
D)"Remind him that entering treatment is better than going to prison."

Question 24

A mother is concerned that her daughter may be considering experimentation with drugs and alcohol. Which of the following strategies would the nurse suggest the mother implement? (Select all that apply.)

A)Provide opportunities for her daughter to develop her talents.
B)Provide realistic feedback to the daughter about her performance at school.
C)Encourage her daughter to become involved in extracurricular activities.
D)Encourage her daughter to develop new friendships.