Question 1

A client has not yet made a commitment to take action to change his health behaviors.Which stage of change is the client experiencing?

Accepted Answer

During contemplation,the individual is aware that a problem exists and is seriously thinking about overcoming it but has not yet made a commitment to take action.The nurse can encourage the individual to weigh the pros and cons of the problem and the solution to the problem.In precontemplation,the person does not intend to change in the foreseeable future.In the preparation phase,the individual is prepared for action and may reduce the problem behavior but has not yet taken effective action.In the action stage,the individual modifies the behavior,experiences,or environment to overcome the problem.

Question 2

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?

Accepted Answer

During preparation,the individual is prepared for action and may reduce the problem behavior but has not taken effective action yet.During contemplation,the individual is aware that a problem exists and is seriously thinking about overcoming it but has not yet made a commitment to take action.The nurse can encourage the individual to weigh the pros and cons of the problem and the solution to the problem.In precontemplation,the person does not intend to change in the foreseeable future.In the action stage,the individual modifies the behavior,experiences,or environment to overcome the problem.

Question 3

A nurse is caring for a client who is experiencing a drug addiction.Which of the following is the client most at risk for having?

Accepted Answer

ATOD abuse and addiction is associated with many problems,including neonates with low birth weights and congenital anomalies; accidents,homicides,and suicides; chronic diseases such as cardiovascular disease,cancer,lung disease,hepatitis,and human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS); and mental illness.

Question 4

Dependence is a term that refers to the:

Accepted Answer

Dependence refers to the necessary use of drugs to prevent withdrawal symptoms.This occurs because of a state of neuroadaptation (a physiological change in the central nervous system).

Question 5

The nurse is interviewing a client who reports that he drinks alcohol when snorting cocaine.Which of the following best describes what is happening with this client?

Accepted Answer

A client who drinks alcohol when snorting cocaine is suffering from polysubstance abuse.Drug addiction is a pattern of abuse characterized by an overwhelming preoccupation with the use of a drug,securing its supply,and a high tendency to relapse if the drug is removed.Substance abuse is the use of any substance that threatens a person's health or impairs his or her social or economic functioning.Indiscriminate drug use refers to careless use of drugs.

Question 6

How much alcohol can the liver metabolize in an hour?

Accepted Answer

The amount of alcohol the liver can metabolize per hour is equal to about 3/4 oz of whiskey,4 oz of wine,or 12 oz of beer.

Question 7

A nurse is caring for a client who has had long-term marijuana use.Which of the following physical effects should be of priority concern to the nurse?

Accepted Answer

Respiratory tract damage occurs from smoking the drug and is the greatest physical concern among chronic users.Cardiac dysrhythmias may be a concern of chronic alcohol use.Constipation and abdominal pain are not of priority concern.

Question 8

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

Accepted Answer

Prohibition led to increased crime and corruption among law officials related to the illicit market.Because of the problems that were caused,prohibition was eventually recognized as a failure and repealed.

Question 9

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

Accepted Answer

The leading preventable cause of birth defects in the United States is fetal alcohol syndrome,causing mental and behavioral impairment.

Question 10

A nurse is providing care for a family in which a nonaddict is experiencing a stress-induced preoccupation with an addict's life,leading to extreme dependence on the addict.Which of the following best describes what is happening?

Accepted Answer

Codependency occurs when a person in a close relationship with an addict develops unhealthy coping mechanisms to continue the relationship.Obsession is a thought that continually preoccupies ones' thoughts.Enabling is the act of shielding or preventing the addict from experiencing the consequences of addiction.Drug addiction is a pattern of abuse characterized by an overwhelming preoccupation with the use of a drug,securing its supply,and a high tendency to relapse if the drug is removed.

Question 11

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

Accepted Answer

The oldest and most widely used psychoactive drug in the world is alcohol.Marijuana is the most widely used illicit drug in the United States.

Question 12

Which factor has contributed to the problem of substance abuse?

Accepted Answer

Social acceptance of certain drugs,such as caffeine,alcohol,and tobacco,contributes to the substance abuse problem.Not all substances that are abused are illegal.

Question 13

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

Accepted Answer

Substance abuse is the use of any substance that threatens a person's health or impairs his or her social or economic functioning.Drug dependence is a state of neuroadaptation caused by the chronic,regular administration of a drug.Drug addiction is a pattern of abuse characterized by an overwhelming preoccupation with the use of a drug,securing its supply,and a high tendency to relapse if the drug is removed.Illegal means that it is against the law,not all substances are illegal.

Question 14

A school nurse is coordinating the implementation of a drug education program in the school.Which of the following levels of prevention is being implemented?

Accepted Answer

Primary prevention includes education about drugs and guidelines for their use,preventing the problem before it occurs.Secondary prevention aims for early detection and screening.Tertiary prevention addresses treatment and rehabilitation.Primary health care prevention is not a level of prevention.

Question 15

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

Accepted Answer

Marijuana is the most widely used illicit drug in the United States.The oldest and most widely used psychoactive drug in the world is alcohol.

Question 16

Which health problem causes more deaths,illnesses,and disabilities than any other in the United States?

Accepted Answer

Substance abuse is the number one national health problem,causing more deaths,illnesses,and disabilities than any other health condition.Tobacco addiction,caffeine addiction,and alcohol abuse are part of substance abuse.

Question 17

Why must nurses examine their attitudes about alcohol,tobacco,and other drug (ATOD)abuse and addiction before working with individuals with this health problem?

Accepted Answer

To be therapeutic,the nurse must develop a trusting,nonjudgmental relationship with clients.Therefore,nurses must examine their own attitudes ahead of time.Working with clients who have addiction problems does not put the nurse at risk for violence.People with drug and alcohol addiction can be found in any neighborhood.Nurses do not treat addiction problems.

Question 18

Which statement about nicotine and smoking is accurate?

Accepted Answer

It is true that sidestream smoke contains greater concentrations of toxic and carcinogenic compounds than mainstream smoke.Pipes are less hazardous than cigarettes because the harsher smoke discourages deep inhalation.The body quickly develops tolerance to nicotine.

Question 19

The nurse is providing community health education about how alcohol affects the body.Which of the following individuals would the nurse describe as being most likely to have the lowest blood alcohol concentration?

Accepted Answer

An individual with a high body weight would likely have the lowest blood alcohol concentration.Increased alcohol concentration,drinking without consuming food,and being a female are all factors that increase blood alcohol concentration.

Question 20

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

Accepted Answer

Inhalants are among the first drugs that young children use.The primary abusers of most inhalants are adolescents who are 12-17 years of age.Most recent studies have found that the DARE program is less effective than other interactive prevention programs and may even result in increased drug use.Underage drinking is seen as the most serious drug problem for youth in the United States.The younger a person is when beginning intensive experimentation with drugs,the more likely dependence will develop.

Quiz 37: Alcohol, Tobacco, and Other Drug Problems