Question 1

What is true regarding hair analysis done on an alcoholic? (Select all that apply.)

Accepted Answer

A)  Requires sensitive technology 
B)  Is not reliable on treated or dyed hair 
C)  Can determine addiction 
D)  Can be informative in the treatment of a short-term abuser 
E)  Can assess relapse 
A)  Requires sensitive technology 
B)  Is not reliable on treated or dyed hair 
C)  Can determine addiction 
D)  Can be informative in the treatment of a short-term abuser 
E)  Can assess relapse A, E

Question 2

A nurse indicates that a urine sample is needed for screening in a case of DWI.What actions should be implemented? (Select all that apply.)

Accepted Answer

A)  Collection and witnessing by a staff member of the same gender 
B)  Documented with a chain-of-custody form signed by all who handle the specimen 
C)  Keep specimen under secure conditions if temporary storage is necessary 
D)  Never be out of sight until someone from law enforcement takes it 
E)  Place in a specially marked container 
A)  Collection and witnessing by a staff member of the same gender 
B)  Documented with a chain-of-custody form signed by all who handle the specimen 
C)  Keep specimen under secure conditions if temporary storage is necessary 
D)  Never be out of sight until someone from law enforcement takes it 
E)  Place in a specially marked container A, B, C

Question 3

In some cases, patients will use drugs or alcohol to treat the disturbing symptoms of a psychiatric disease.What can occur in this scenario?

Accepted Answer

A)  A mixed-drug reaction, which may heighten the effects of both drugs 
B)  Decreased psychiatric symptoms, which makes the psychiatric condition harder to treat 
C)  An accidental overdose by mixing alcohol with anxiolytic medications, antipsychotic medications, or antidepressants 
D)  An increase in psychiatric symptoms because the psychiatric drugs become less effective in the presence of alcohol 
A)  A mixed-drug reaction, which may heighten the effects of both drugs 
B)  Decreased psychiatric symptoms, which makes the psychiatric condition harder to treat 
C)  An accidental overdose by mixing alcohol with anxiolytic medications, antipsychotic medications, or antidepressants 
D)  An increase in psychiatric symptoms because the psychiatric drugs become less effective in the presence of alcohol C

Question 4

A patient with an alcohol addiction says, "My drinking is all my wife's fault.She makes me so crazy I just have to have a drink." What does this exemplify?

Accepted Answer

A)  Rationalization 
B)  Denial 
C)  Intellectualization 
D)  Projection 
A)  Rationalization 
B)  Denial 
C)  Intellectualization 
D)  Projection

Question 5

During the taking of a medical history, a patient who is addicted to heroin reports he only uses the drug a few times a week.What is the nurse's best response when trying to disclose more precise information?

Accepted Answer

A)  "OK.You only use heroin two times a week?" 
B)  "What do you mean when you say 'a few?'" 
C)  "Are you saying that in a week's time would you use heroin only two times?" 
D)  "Rate your weekly usage on a scale of 1 to 15." 
A)  "OK.You only use heroin two times a week?" 
B)  "What do you mean when you say 'a few?'" 
C)  "Are you saying that in a week's time would you use heroin only two times?" 
D)  "Rate your weekly usage on a scale of 1 to 15."

Question 6

What might the positive effects of marijuana be used to treat?

Accepted Answer

A)  Diet control in morbidly obese patients 
B)  Chemotherapy-induced nausea and vomiting 
C)  Air hunger in patients with end-stage emphysema 
D)  Early diabetic-induced cataracts 
A)  Diet control in morbidly obese patients 
B)  Chemotherapy-induced nausea and vomiting 
C)  Air hunger in patients with end-stage emphysema 
D)  Early diabetic-induced cataracts

Question 7

An LPN is assisting with the development of a nursing care plan for a patient who has been using cocaine for 5 years.What should the nurse consider will most commonly need to be dealt with in this patient?

Accepted Answer

A)  Depression 
B)  Violent behavior 
C)  Nasal erosion 
D)  Suicide attempts 
A)  Depression 
B)  Violent behavior 
C)  Nasal erosion 
D)  Suicide attempts

Question 8

A urine drug screen is ordered for a patient suspected of a driving while intoxicated (DWI).What drugs are included in this screening?

Accepted Answer

A)  Lysergic acid diethylamide (LS
D) , Valium, and Percocet 
B)  Crack, heroin, and nonsteroidal anti-inflammatory drugs (NSAIDs) 
C)  Marijuana, amphetamines, and Elavil 
D)  Librium, cocaine, and Zoloft 
A)  Lysergic acid diethylamide (LS
D) , Valium, and Percocet 
B)  Crack, heroin, and nonsteroidal anti-inflammatory drugs (NSAIDs) 
C)  Marijuana, amphetamines, and Elavil 
D)  Librium, cocaine, and Zoloft

Question 9

Which implementation can be used to help prevent relapse in a patient who has a substance abuse problem?

Accepted Answer

A)  Self-hypnosis 
B)  Imagery 
C)  Stress management 
D)  Blocking 
A)  Self-hypnosis 
B)  Imagery 
C)  Stress management 
D)  Blocking

Question 10

A nurse is counseling a pregnant cocaine abuser.What should the nurse inform this patient that she is placing her baby at significant risk for?

Accepted Answer

A)  Severe allergies 
B)  Neurologic impairments 
C)  Hearing impairment 
D)  Higher birth weights 
A)  Severe allergies 
B)  Neurologic impairments 
C)  Hearing impairment 
D)  Higher birth weights

Question 11

Which information about a patient should lead a nurse to suspect substance abuse?

Accepted Answer

A)  Abnormal liver function test result and a gastrointestinal (GI)bleed 
B)  Positive syphilis screening result and varicose veins 
C)  Fungal infection and a potassium level of 4.2.mEq/L 
D)  Decreased albumin level and creatinine level of 1.2 mg/dL 
A)  Abnormal liver function test result and a gastrointestinal (GI)bleed 
B)  Positive syphilis screening result and varicose veins 
C)  Fungal infection and a potassium level of 4.2.mEq/L 
D)  Decreased albumin level and creatinine level of 1.2 mg/dL

Question 12

Two treatment plans for abusers of alcohol and drugs are similar-90 meetings in 90 days and 12-step programs.What is the major difference in the success of the two types of programs?

Accepted Answer

A)  One program uses a 12-step approach, and the other program has a religious base. 
B)  Heroin addicts have a higher success rate. 
C)  Alcohol abusers have an easier time staying with the program. 
D)  Relapse rates for patients using drugs other than alcohol alone are much higher. 
A)  One program uses a 12-step approach, and the other program has a religious base. 
B)  Heroin addicts have a higher success rate. 
C)  Alcohol abusers have an easier time staying with the program. 
D)  Relapse rates for patients using drugs other than alcohol alone are much higher.

Question 13

Narcan has been given to a person with respiratory depression who is addicted to heroin.What should the nurse be alert for indications of?

Accepted Answer

A)  Acute withdrawal symptoms 
B)  Respiratory arrest 
C)  Hypotensive crisis 
D)  Cardiac arrest 
A)  Acute withdrawal symptoms 
B)  Respiratory arrest 
C)  Hypotensive crisis 
D)  Cardiac arrest

Question 14

A patient has been diagnosed with alcoholism.A nurse tells him that he has a physical illness with a genetic predisposition to alcoholism, and the only effective treatment is total abstinence from alcohol.This type of approach characterizes which theory?

Accepted Answer

A)  Biologic 
B)  Behavioral 
C)  Sociocultural 
D)  Intrapersonal 
A)  Biologic 
B)  Behavioral 
C)  Sociocultural 
D)  Intrapersonal

Question 15

A patient who has alcoholism with a history of heavy drinking is brought to the inpatient psychiatric unit saying that he does not know where he is or what day it is.What should the nurse suspect he is exhibiting?

Accepted Answer

A)  Delirium 
B)  Alcoholic dementia 
C)  Blackout 
D)  Amnesia 
A)  Delirium 
B)  Alcoholic dementia 
C)  Blackout 
D)  Amnesia

Question 16

What does alcohol abuse in the older adult place him or her at risk for? (Select all that apply.)

Accepted Answer

A)  Falls 
B)  Malnutrition 
C)  Respiratory infections 
D)  Bone demineralization 
E)  Cirrhosis 
A)  Falls 
B)  Malnutrition 
C)  Respiratory infections 
D)  Bone demineralization 
E)  Cirrhosis

Question 17

A nurse documents signs of Wernicke encephalopathy in a patient with long-term alcoholism.What do these signs include? (Select all that apply.)

Accepted Answer

A)  Confabulation 
B)  Ataxia 
C)  Delirium 
D)  Decreasing level of consciousness 
E)  Projectile vomiting 
A)  Confabulation 
B)  Ataxia 
C)  Delirium 
D)  Decreasing level of consciousness 
E)  Projectile vomiting

Question 18

An alcoholic is brought into the emergency department in an intoxicated state at 2000.The day shift nurse assesses the patient to exhibit tremors, have increased blood pressure, and agitation at 0800 rounds.What do these signs and symptoms indicate?

Accepted Answer

A)  Major withdrawal 
B)  Early withdrawal 
C)  Delirium tremens 
D)  Minor withdrawal 
A)  Major withdrawal 
B)  Early withdrawal 
C)  Delirium tremens 
D)  Minor withdrawal

Question 19

A nurse recommends to an alcoholic that he join Alcoholics Anonymous.What is true about this organization?

Accepted Answer

A)  Based on a 12-step approach with a strong religious base 
B)  A social group of ex-drinkers who befriend one another in the process of maintaining sobriety 
C)  A religious support group that assists alcoholics during rehabilitation 
D)  An anonymous group of sponsors who offer help to alcoholics 
A)  Based on a 12-step approach with a strong religious base 
B)  A social group of ex-drinkers who befriend one another in the process of maintaining sobriety 
C)  A religious support group that assists alcoholics during rehabilitation 
D)  An anonymous group of sponsors who offer help to alcoholics

Question 20

What is the rationale for using methadone in the treatment of heroin abuse?

Accepted Answer

A)  Substitutes one opioid for another. 
B)  Is less constipating than heroin. 
C)  Does not give the "rush" that a person addicted to heroin is looking for. 
D)  Is a synthetic opioid, which makes it less addicting. 
A)  Substitutes one opioid for another. 
B)  Is less constipating than heroin. 
C)  Does not give the "rush" that a person addicted to heroin is looking for. 
D)  Is a synthetic opioid, which makes it less addicting.

Exam 62: Substance Abuse

What is true regarding hair analysis done on an alcoholic? (Select all that apply.)

A nurse indicates that a urine sample is needed for screening in a case of DWI.What actions should be implemented? (Select all that apply.)

In some cases, patients will use drugs or alcohol to treat the disturbing symptoms of a psychiatric disease.What can occur in this scenario?

A patient with an alcohol addiction says, "My drinking is all my wife's fault.She makes me so crazy I just have to have a drink." What does this exemplify?

During the taking of a medical history, a patient who is addicted to heroin reports he only uses the drug a few times a week.What is the nurse's best response when trying to disclose more precise information?

What might the positive effects of marijuana be used to treat?

An LPN is assisting with the development of a nursing care plan for a patient who has been using cocaine for 5 years.What should the nurse consider will most commonly need to be dealt with in this patient?

A urine drug screen is ordered for a patient suspected of a driving while intoxicated (DWI).What drugs are included in this screening?

Which implementation can be used to help prevent relapse in a patient who has a substance abuse problem?

A nurse is counseling a pregnant cocaine abuser.What should the nurse inform this patient that she is placing her baby at significant risk for?

Which information about a patient should lead a nurse to suspect substance abuse?

Two treatment plans for abusers of alcohol and drugs are similar-90 meetings in 90 days and 12-step programs.What is the major difference in the success of the two types of programs?

Narcan has been given to a person with respiratory depression who is addicted to heroin.What should the nurse be alert for indications of?

A patient has been diagnosed with alcoholism.A nurse tells him that he has a physical illness with a genetic predisposition to alcoholism, and the only effective treatment is total abstinence from alcohol.This type of approach characterizes which theory?

A patient who has alcoholism with a history of heavy drinking is brought to the inpatient psychiatric unit saying that he does not know where he is or what day it is.What should the nurse suspect he is exhibiting?

What does alcohol abuse in the older adult place him or her at risk for? (Select all that apply.)

A nurse documents signs of Wernicke encephalopathy in a patient with long-term alcoholism.What do these signs include? (Select all that apply.)

An alcoholic is brought into the emergency department in an intoxicated state at 2000.The day shift nurse assesses the patient to exhibit tremors, have increased blood pressure, and agitation at 0800 rounds.What do these signs and symptoms indicate?

A nurse recommends to an alcoholic that he join Alcoholics Anonymous.What is true about this organization?

What is the rationale for using methadone in the treatment of heroin abuse?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders