Deck 35: 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

Many people with alcoholism and drug addiction become lost in the health care system. A nurse who knows the client's history, environment, support systems, and local treatment programs can offer guidance to the most effective treatment modality. The FRAMES method of intervention includes six elements. One of these is "advice." This entails:

A) Proving a menu of options or choices
B) Providing clear guidance to change risky behavior
C) Providing encouragement and belief in the client's ability to change
D) Emphasizing a person's responsibility for change

Answer 2

Providing clear guidance to change risky behavior

Question 3

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

Answer 3

Substance abuse

Question 4

The amount of alcohol the liver can metabolize per hour is equal to which of the following?

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

Question 5

Which of the following statements is true of nicotine?

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

Question 6

The "harm reduction" model is an approach that focuses on:

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

Question 7

Which of the following factors contributes to the substance abuse problem?

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

Question 8

The life expectancy of a person with alcoholism is reduced by how many years?

A) 6
B) 16
C) 26
D) 36

Question 9

In addition to drug use, two other variables influence the particular drug experience: set and setting. If a nurse was interested in investigating the setting, what would he or she look for?

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 10

Dependence is a term that refers to:

A) The presence and severity of withdrawal symptoms
B) Necessary use of drugs to prevent withdrawal symptoms
C) The level of intoxication associated with addiction
D) The amount of substance needed to satisfy cravings

Question 11

Nurses must examine their attitudes about alcohol, tobacco, and other drug abuse and addiction before working with this health problem. Why is this necessary?

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

Question 12

In the United States the primary solution to various drug problems has been prohibition. Prohibition has often led to:

A) The elimination of substance abuse
B) An increase in violent crime and corruption
C) The need for more community health nurses
D) Better treatment facilities to treat substance abuse

Question 13

Alcohol, tobacco, and other drug addiction can cause multiple health problems for individuals. Among these are:

A) Infants with high birth weights
B) Easily cured illnesses and diseases
C) Accidents, homicides, and suicides
D) Lack of employment

Question 14

The number one national health problem causing more deaths, illnesses, and disabilities than any other health condition is which of the following?

A) Smoking
B) Drinking
C) Substance abuse
D) Caffeine addiction

Question 15

Which of the following factors is associated with decreased blood alcohol concentration?

A) Increased concentration of alcohol in the drink
B) Drinking without consuming food
C) Female gender
D) Increased body weight

Question 16

Which of the following are the most effective for pain relief?

A) Barbiturates
B) Benzodiazepines
C) Opioids
D) Stimulants

Question 17

Injection drug users are at risk for other health complications. This population represents a rapidly growing source of new cases of AIDS. Emphasis is being placed on reducing the transmission of this disease through contaminated needles. A community health nurse can provide education about:

A) How and where to acquire safe needles
B) The proper way to use a needle and possible injection sites
C) AIDS transmission via heterosexual and homosexual activities
D) Cleaning needles with bleach between uses and needle exchange programs

Question 18

Nurses often assist in the promotion of healthy lifestyles. Health problems such as difficulty sleeping, muscle tension, lack of energy, chronic stress, and mood swings are common reasons people turn to medications. Nurses can help clients understand that:

A) Taking medications is a way of life in America.
B) Medications often mask problems rather than solve them.
C) Some medications have substitute herbal agents that are more healthy.
D) Community resources and specialty organizations can help reduce drug abuse.

Question 19

Which of the following is true of stimulants?

A) Give a person more energy
B) Have few negative health effects
C) May cause constipation
D) May lead to death

Question 20

The "just say no" approach has not been helpful in keeping young people off drugs for several reasons. One of these reasons 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 drug experimentation is often part of normal development.
D) Just saying "no" to drugs does not include smoking and alcohol abuse.

Question 21

In addition to decreasing risk factors, it is also important to increase protective factors against drug abuse. Prevention guidelines to teach parents and teachers how to increase resiliency in youths include which of the following strategies? Select all that apply.

A) Warn youths about the dangers of drugs and the consequence of prison.
B) Help develop increased sense of responsibility for their own success.
C) Help identity their talents.
D) Provide realistic appraisals and feedback and encourage education.

Question 22

The nurse is interviewing a client who reports that he drinks alcohol when snorting cocaine. This type of drug use is called:

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

Question 23

Medical supervision is required during detoxification from:

A) Barbiturates
B) Marijuana
C) Opiates
D) Stimulants

Question 24

Which of the following is among the first drugs that young children use?

A) Inhalants
B) Marijuana
C) Alcohol
D) Nicotine

Question 25

Chronic alcohol abuse exerts profound metabolic and physiological effects on all organ systems. Which of the following are some of these effects? Select all that apply.

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

Question 26

Alcoholics Anonymous (AA) recognizes the important role of which of the following in the treatment of a chronic illness?

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

Question 27

The major adverse physical effect of marijuana use is:

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

Question 28

At which of the following stages has the individual not yet made a commitment to take action?

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

Question 29

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 30

The third-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 31

At which of the following stages has the individual not yet taken effective action?

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

Question 32

When assessing drug use patterns of a client, which of the following questions should the nurse ask?

A) Where was the drug acquired?
B) Who gave it?
C) What was taken?
D) How often?

Question 33

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

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

Question 34

The nurse collects a urine specimen with the rationale 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 35

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

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

Question 36

Substance abuse among adolescents is influenced most by:

A) Family-related factors, such as genetics, family stress, and parenting styles
B) Positive media messages
C) Socioeconomic level
D) Peer pressure

Question 37

People in a close relationship with an addict often develop unhealthy coping mechanisms to continue the relationship. The nonaddict experiences a stress-induced preoccupation with the addicted person's life that may lead to extreme dependence and excessive concern with the addict. This describes:

A) Obsession with the addicted
B) Codependency
C) Enabling
D) Addiction