Deck 37: Alcohol, Tobacco, and Other Drug Problems

Question 1

The oldest and most widely used psychoactive drug in the world is:

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

Answer 1

Alcohol

Question 2

A client who is experiencing a drug addiction is at risk for having a(n):

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

Answer 2

Accident or committing suicide

Question 3

The nurse is interviewing a client who reports that he drinks alcohol when snorting cocaine.This client is experiencing:

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

Answer 3

Polysubstance use

Question 4

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 5

The use of any substance that threatens a person's health or impairs his or her social or economic functioning is:

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

Question 6

Dependence is a term that refers to the:

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

Question 7

How much alcohol can the liver metabolize in an hour?

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

Question 8

What has happened in the United States as a result of prohibition?

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

Question 9

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 10

Why must nurses examine their attitudes about alcohol,tobacco,and other drug 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 non-judgmental relationship with clients.
D) Nurses are the primary persons who treat addiction problems.

Question 11

Which physical effect is the nurse most likely to be concerned about when caring for a client who has had long-term marijuana use?

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

Question 12

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 13

Which stage of change is a client experiencing when a commitment to take action has not yet been made?

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

Question 14

A nurse is providing care for a family in which a non-addict is experiencing a stress-induced preoccupation with an addict's life leading to extreme dependence on the addict.This describes:

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

Question 15

The leading cause of birth defects in the United States is:

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

Question 16

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

A) Inhalants are among the first drugs that young children use.
B) Implementing the 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 17

The most widely used illicit drug in the United States is:

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

Question 18

Which individual would mostly likely have the lowest blood alcohol concentration?

A) An individual who consumes a drink with a high concentration of alcohol
B) An individual who drinks without consuming food
C) An individual of the female gender
D) An individual with a high body weight

Question 19

Drug education programs in the school,such as Project DARE,are an example of which level of prevention?

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

Question 20

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 21

A nurse caring for adolescents who have experienced substance abuse recognizes that they are most influenced by:

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

Question 22

When implementing the "harm reduction" model,the nurse focuses on using which approach?

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

Question 23

The nurse collects a urine specimen knowing that urinalysis for drug testing can be used to determine:

A) Whether a certain drug has been used in the recent past
B) The degree of intoxication
C) The extent of performance impairment
D) How much alcohol was consumed

Question 24

Which medical problems would a client with chronic alcohol abuse most likely experience? Select all that apply.

A) Gastrointestinal disturbances
B) Cardiac dysrhythmias
C) Depression
D) Organic brain syndrome
E) None of above

Question 25

When assessing drug use patterns of a client,which question is most appropriate for the nurse ask?

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

Question 26

Which action would the nurse take when giving advice using the acronym FRAMES?

A) Offer a menu of options or choices.
B) Provide clear guidance to change risky behavior.
C) Support the client's ability to change the behavior.
D) Emphasize the client's responsibility for change.

Question 27

What would a nurse look for when investigating the setting of a particular drug experience?

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 28

When providing comprehensive education about HIV transmission for an injection drug user (IDU),the most important information to include is:

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 29

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

Question 30

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.The rationale for this recommendation is:

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 31

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

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

Question 32

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

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

Question 33

When assessing for addiction,the nurse should be aware that a primary symptom of addiction is:

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