Deck 71: Caring for Clients With Chemical Dependence

Question 1

Nicotine mimics the action of which neurotransmitter?

A) Acetylcholine
B) Epinephrine
C) Dopamine
D) Serotonin

Answer 1

Acetylcholine

Question 2

Which of the following is a true statement regarding alcohol use in the gerontologic population?

A) Older adults who drink exhibit less impairment.
B) Older adults have a higher metabolism which leads to alcohol toxicity.
C) Alcoholism may be difficult to identify in older adults.
D) Dementia may be associated with light ingestion of alcohol for 10 or more years.

Answer 2

Alcoholism may be difficult to identify in older adults.

Question 3

Which stage of tobacco dependence occurs when a person uses tobacco sporadically?

A) Contemplation
B) Experimentation
C) Initiation
D) Precontemplation

Answer 3

Experimentation

Question 4

A nurse assessing a client with alcohol dependence observes that the pulse rate of the client is 120 beats per minute and the diastolic blood pressure is 120 mm Hg. Which of the following actions does this observation suggest?

A) Monitor for withdrawal symptoms.
B) Monitor fluid intake and output.
C) Monitor for seizure activity, hallucinations, and tremors.
D) Consult with the physician regarding the need for a sedative.

Question 5

What happens when clients return to opiate abuse while taking naltrexone?

A) They have an increased potential for overdosage and death.
B) They do not experience the previous level of opiate effects.
C) They experience physiologic consequences of withdrawal.
D) They experience depression and are prone to commit suicide.

Question 6

Which of the following is a CNS depressant?

A) Demerol
B) Cocaine
C) Methamphetamine
D) Nicotine

Question 7

Which of the following data is not important for a nurse to obtain when a client with alcohol dependence admits consuming alcohol during the assessment?

A) Type of drink consumed
B) Quantity of drink consumed
C) When the last drink was consumed
D) Any withdrawal symptoms experienced

Question 8

Which of the following assessment findings is observed in a client with opiate dependency?

A) Diarrhea
B) Pinpoint-sized pupils
C) Weight gain
D) Bulimia

Question 9

Which of the following medications is used during alcohol withdrawal to reduce heart rate and blood pressure?

A) Lorazepam (Ativan)
B) Propanolol (Inderal)
C) Diazepam (Valium)
D) Chlordiazepoxide (Librium)

Question 10

Which of the following is a clinical manifestation of alcohol withdrawal?

A) Bradycardia
B) Seizures
C) Hypotension
D) Dry skin

Question 11

Which of the following instructions should a nurse give to clients with opiate dependency who take methadone?

A) Avoid driving for 3 hours after medication.
B) Take vitamin substitutes.
C) Maintain bed rest for 1 hour after medication.
D) Wear a Medic Alert tag.

Question 12

Which of the following interventions is essential before providing methadone to a client with opiate dependency?

A) Urine test
B) Blood test
C) IV administration
D) Blood sugar test

Question 13

Which of the following instructions should a nurse provide a client with alcohol dependence who is prescribed disulfiram?

A) Maintain bed rest for 1 hour after medication.
B) Avoid mixing disulfiram and alcohol.
C) Avoid driving for 3 hours after medication.
D) Take in adequate fluids before medication.

Question 14

Which of the following refers to the reduction in a drug's effect that follows persistent use?

A) Addiction
B) Tolerance
C) Withdrawal
D) Dependence

Question 15

Which of the following is a physiologic effect of nicotine?

A) Peripheral vasodilation
B) Increased elasticity of alveoli
C) Peripheral vasoconstriction
D) Decreased risk of fractures

Question 16

Which of the following medications is used as an alcohol deterrent?

A) Lorazepam (Ativan)
B) Naloxone (Narcan)
C) Disulfirum (Antabuse)
D) Methadone (Dolophine)

Question 17

When caring for a client with alcohol dependence who is prescribed a benzodiazepine, which of the following side effects is it most important that the nurse monitor for?

A) Insomnia
B) Sedation
C) Increased thirst
D) Anxiety

Question 18

Which of the following nutritional interventions should a nurse suggest to a client with alcohol dependency who is experiencing chronic pancreatitis?

A) Parenteral nutrition
B) Low-fat diet
C) Soft diet
D) Sodium and fluid restrictions

Question 19

Which of the following tests is beneficial for a nurse to detect alcoholic behaviors when assessing a client with alcohol dependence?

A) CAGE screening test
B) Blood alcohol level
C) Rule of one hundreds
D) Breath alcohol concentration test

Question 20

Which blood alcohol level (BAL) is associated with coma?

A) 200 mg/dL
B) 300 mg/dL
C) 400 mg/dL
D) 500 mg/dL

Question 21

Which of the following is a clinical manifestation of chronic opiate use?

A) Constipation
B) Weight gain
C) Dilated pupils
D) Increased bruising

Question 22

Neonates exposed to opiates in utero exhibit which of the following characteristics?

A) Fluid overload
B) High-pitched cry
C) Constipation
D) Decreased muscle activity

Question 23

Which neurotransmitter is most likely responsible for the rewarding and reinforcing effect of cocaine?

A) Serotonin
B) Epinephrine
C) Dopamine
D) Acetylcholine

Question 24

Clinical manifestations of methamphetamine use include which of the following?

A) Weight gain
B) Moist mucus membranes
C) Acne
D) Vasodilation of blood vessels

Question 25

Which of the following medications is a narcotic antagonist?

A) Oxycodone (Oxycontin)
B) Naloxone (Narcan)
C) Methadone (Dolophine)
D) Clonidine (Catapres)