Substance Abuse Study Questions
The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. A person who injects heroin to experience the euphoria that it
causes is demonstrating
a. abuse.
b. addiction.
c. tolerance.
d. addictive behavior.
2. When admitting a patient, the nurse must assess the patient for
substance use based on the knowledge that long-term use of addictive substances leads to
a. the development of coexisting psychiatric illnesses.
b. a higher risk for complications from underlying health problems.
c. increased availability of dopamine, resulting in decreased sleep
requirements.
d. potentiation of effects of similar drugs taken when the individual is drug free.
3. The nurse would suspect cocaine overdose in the patient who is
experiencing
a. craving, restlessness, and irritability.
b. agitation, cardiac dysrhythmias, and seizures.
c. diarrhea, nausea and vomiting, and confusion.
d. slow, shallow respirations; hyporeflexia; and blurred vision.
4. The most appropriate nursing intervention for a patient who is
being treated for an acute exacerbation of chronic obstructive pulmonary disease who is not interested in quitting smoking is to
a. accept the patient’s decision and not intervene until the patient
expresses a desire to quit.
b. realize that some smokers will never quit, and trying to assist
them increases the patient’s’ frustration.
c. motivate the patient to quit by describing how continued
smoking will worsen the breathing problems.
d. ask the patient to identify the relevance, risks, and benefits of
quitting and what barriers to quitting are present.
5. While caring for a patient who is experiencing alcohol withdrawal,
the nurse should (select all that apply)
a. monitor neurologic status on a routine basis.
b. provide a quiet, nonstimulating, dimly lit environment.
c. pad the side rails and place suction equipment at the bedside.
d. orient the patient to environment and person with each contact.
e. administer antiseizure drugs and sedatives to relieve symptoms
during withdrawal.
6. Substance abuse problems in older adults are usually related to
a. use of drugs and alcohol as a social activity.
b. misuse of prescribed and over-the-counter drugs and alcohol.
c. continuing the use of illegal drugs initiated during middle age.
d. a pattern of binge drinking for weeks or months with periods of
sobriety.
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