Question 1

Why would a nurse use the Screening, Brief Intervention, Brief Therapy, and Referral to Treatment (SBIRT) form?&#10;A) To assess the effects of substance use&#10;B) To prepare a patient to be transferred to a rehabilitation facility&#10;C) To determine if a patient is psychologically dependent on a drug&#10;D) To identify patients who have or who are at risk for substance use disorders

Accepted Answer

The SBIRT form is used to identify patients who have or who are at risk for substance use disorders. It is not used to assess the effects of substance use, to prepare a patient for transfer to a rehabilitation facility, or to determine if a patient is psychologically dependent on a drug.

Question 2

Why is reducing the availability of a psychoactive substance not sufficient for controlling its use?&#10;A) New drugs are being developed all the time.&#10;B) Another drug can be used instead to achieve the same result.&#10;C) There is always someone who can obtain the drug that is desired.&#10;D) Addiction is a chronic disease of brain reward, motivation, memory, and related circuitry.

Accepted Answer

Because addiction is a primary, chronic disease of brain reward, motivation, memory, and related circuitry, reducing the availability of psychoactive substances by controlling manufacturing and trafficking is not sufficient to control its far-reaching effects. New drugs might be constantly developed, but that does not address why reducing the availability does not control its use. Another drug might be used instead to achieve the same results; however, that does not address why reducing the availability does not control its use. Someone being able to obtain the desired drug would definitely not control its use.

Question 3

Which of the following findings would a nurse expect to assess in a patient who used a synthetic cathinone?&#10;A) Runny nose, chills, fatigue, and lethargy&#10;B) Fatigue, drowsiness, euphoria, and hunger&#10;C) Agitation, anxiety, sweating, and hyperexcitability&#10;D) Alertness, euphoria, increased sociability, and increased sex drive

Accepted Answer

The effects of a synthetic cathinone include increased alertness, euphoria, increased sociability, and increased sex drive. Runny nose, chills, fatigue, lethargy, drowsiness, hunger, agitation, anxiety, sweating, and hyperexcitability are not symptoms of using a synthetic cathinone.

Question 4

Which of the following results can be expected if a person uses a synthetic cannabinoid?&#10;A) Fatigue&#10;B) Lethargy&#10;C) Hallucinations&#10;D) Low blood pressure

Accepted Answer

Potential effects of a synthetic cannabinoid include hallucinations. Fatigue and lethargy would not occur. High blood pressure is a potential effect of this drug.

Question 5

How would a nurse classify the drug called Molly?&#10;A) Natural cathinone&#10;B) Synthetic cathinone&#10;C) Natural cannabinoid&#10;D) Synthetic hallucinogen

Accepted Answer

Molly is a designer or club drug that is a synthetic hallucinogen. It is not a natural cathinone, synthetic cathinone, or natural cannabinoid.

Question 6

Why would a patient avoid seeking treatment for substance abuse?&#10;A) Cost&#10;B) Length of time for treatment&#10;C) Personal responsibilities&#10;D) Employment expectations

Accepted Answer

Barriers to seeking treatment for substance abuse and addition include a lack of treatment facilities, the high cost of treatment, and the stigma surrounding addiction along with opinions of friends and family members. Length of time for treatment, personal responsibilities, and employment expectations are not identified as barriers to treatment for substance abuse.

Question 7

Why are patients who are treated for opioid addiction with methadone stigmatized?&#10;A) The medication is costly.&#10;B) It causes the same effects as opioids.&#10;C) Methadone is seen as a replacement opioid.&#10;D) It is difficult to obtain sufficient doses of the medication.

Accepted Answer

Because many view methadone as a replacement opioid, individuals treated with methadone have been stigmatized. The medication is not costly. It does not produce the euphoria that is associated with other opioids. It is not difficult to obtain sufficient doses of the medication.

Question 8

Other than methadone, which of the following medications can be used to treat opioid addiction?&#10;A) Naloxone&#10;B) Diazepam&#10;C) Lorazepam&#10;D) Buprenorphine

Accepted Answer

Buprenorphine is one of three drugs that can be used to treat opioid addiction. Naloxone is a pure opioid antagonist and can partially reverse the effects of a heroin overdose. Diazepam and lorazepam are used to treat anxiety and seizure disorders.

Question 9

Why might a nurse have limited knowledge about the use of medications to treat addiction?&#10;A) It is not viewed as essential to learn.&#10;B) Such content is not covered in undergraduate programs.&#10;C) It is more appropriate for social worker curriculums.&#10;D) Pharmacy students are the experts on this treatment.

Accepted Answer

For nurses, medications to treat addiction are most frequently part of graduate education, where it is included as an elective or a certificate program. It is not viewed as unessential to learn. It might be instructed in social worker and pharmacy curriculums; however, the content is also appropriate for nursing students.

Question 10

What is the best resource for a nurse to locate an assessment tool for substance use?&#10;A) World Health Organization (WHO)&#10;B) Centers for Medicare and Medicaid (CMS)&#10;C) Centers for Disease Control and Prevention (CDC)&#10;D) Substance Abuse Mental Health Services Administration (SAMHSA)

Accepted Answer

Many sources for screening and assessment tools are in the public domain, so purchase is not necessary. Making a tool is also feasible if regulatory agency requirements are known. SAMHSA is one of the best sources for assessment tools. WHO, CMS, and CDC are not identified as resources to locate or make assessment tools for substance use.

Deck 21: Substance Use