Deck 28: Substance-Related Disorders

Question 1

Abused substances are those chemicals that alter the person's perception by affecting the:

A)Central nervous system
B)Autonomic nervous system
C)Cardiorespiratory system
D)Peripheral nervous system

Answer 1

Central nervous system

Question 2

The school nurse reports that a student who was brought to her appears to be tense and angry,and her speech is rapid.She denies use of illegal substances.What does the nurse suspect the student has ingested?

A)Ibuprofen
B)Penicillin
C)Ritalin
D)Valium

Answer 2

Ritalin

Question 3

The family of a 35-year-old alcoholic who refuses to seek treatment reaches out to the community health center for assistance.Which organization should the nurse refer them to for counseling?

A)Al-Anon
B)Alcoholics Anonymous
C)Families Anonymous
D)Narcotics Anonymous

Answer 3

Al-Anon

Question 4

A male client takes ibuprofen twice a day,every day,for his arthritis.He becomes very anxious when he does not take his normal doses.This client is experiencing:

A)Physical tolerance
B)Substance dependency
C)Psychological tolerance
D)Early-stage addiction

Question 5

__________ is a processed stimulant that reaches the brain immediately and produces an intense but short-lived high.

A)Heroin
B)Opioids
C)Cocaine
D)Crack

Question 6

The drug most often abused by adolescents is:

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

Question 7

The breathing in of volatile substances has become popular with adolescents and young adults because such inhalants are (Select all that apply):

A)Legal
B)Illegal
C)Harmless
D)Expensive
E)Inexpensive
F)Easily obtained
G)Undetectable in the body

Question 8

A drug that is taken daily to help reduce the desire for alcohol is:

A)Hydroxyzine (Atarax)
B)Disulfiram (Antabuse)
C)Methadone (Dolophine)
D)Meclizine (Antivert)

Question 9

Which are signs and symptoms most commonly associated with heroin use? (Select all that apply. )

A)Watery eyes
B)Constricted pupils
C)Clammy skin
D)Drowsiness
E)Euphoria

Question 10

The main active ingredient in coffee,black teas,most cola drinks,and many other bottled beverages that stimulates the nervous system,relieves fatigue,increases alertness,and increases the body's metabolic rate is:

A)Alcohol
B)Cocaine
C)Caffeine
D)Amphetamines

Question 11

Typical central nervous system responses when an individual has drunk five or more alcoholic beverages or has a blood alcohol content of 0.20% within a 4-hour period include:

A)Thought,restraint,reaction time,and judgment are slowed,and the individual usually is more at ease socially
B)The entire motor area of the brain is depressed;the individual is staggering,easily angered,and emotional and feels fatigued
C)Comatose;the medullary area of the brain is severely depressed,and respiratory failure can result in death
D)Confused,unresponsive to most external stimuli;loss of ability to control involuntary responses and decreased vital signs

Question 12

The nurse assessing a newborn shortly after delivery notes that the infant is very jittery,irritable,and has a high-pitched cry.The nurse suspects that the mother took which substance during pregnancy?

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

Question 13

Children who are smaller at birth,have small heads (microcephaly),and fail to develop normally have characteristics of:

A)Parents who smoke
B)Fetal alcohol syndrome
C)Fetal alcohol intoxication
D)Fetal accumulation syndrome

Question 14

For a substance-related disorder to be diagnosed,the pattern of substance use must lead to:

A)Significant costs involved with the habit
B)Significant disturbances in social functioning
C)Significantly impaired functioning and distress
D)Significant physical changes related to the abused substance

Question 15

The client has frequent drug reactions to,and side effects from,his medications.He is 72 years old and lives alone.What should he be assessed for?

A)Clarity of mind
B)Suicidal wishes
C)Concurrent substance use
D)Using someone else's medications

Question 16

Significant complications such as sudden death due to cardiac dysrhythmia or respiratory depression are associated with the use of:

A)Alcohol
B)Cocaine
C)Inhalants
D)Hallucinogens

Question 17

Which of the following persons is said to have a dual diagnosis?

A)The anorexic adolescent suffering from depression
B)The school-age child suffering from a learning disorder and asthma
C)The older adult suffering from hypertension and diabetes
D)The young adult suffering from psychosis who smokes marijuana regularly

Question 18

With children younger than 12 years of age,drug abuse:

A)Does not exist
B)Is never a problem
C)Occurs infrequently
D)Occurs more often than is suspected

Question 19

Before treatment of an addiction can actually begin,many persons first must go through the process of removing the substance from their bodies under medical supervision.This is known as:

A)Abstinence
B)Withdrawal
C)Detoxification
D)Intoxication

Question 20

One begins to prefer being high to other activities during which stage of addiction?

A)The early stage
B)The middle stage
C)The late stage
D)The chronic stage

Question 21

When the body physically needs or is dependent on a substance,the individual is said to be __________ to the substance.

Question 22

__________ is the drug of choice in the treatment of heroin addiction to ease the effects of withdrawal from the drug.

Question 23

It is important for the nurse to ensure that the client understands the physical reactions associated with drinking alcohol while taking disulfiram (Antabuse).Which of the following are reactions that may result from ingesting alcohol while taking Antabuse? (Select all that apply. )

A)High blood pressure
B)Headache
C)Blurred vision
D)Nausea
E)Double vision
F)Vomiting
G)Chills

Question 24

Which of the following are interventions included in the plan of care for an individual with substance abuse? (Select all that apply)

A)Ignore physical symptoms of dependence and withdrawal to ensure the individual will rehabilitate
B)Focus on client's weaknesses to encourage client to change
C)Teach client about the negative effects of the disease
D)Monitor the effects of therapies prescribed to control substance use
E)Meet physical needs during detoxification
F)Encourage client to focus on present and future,not only the past