Question 1

In which way is methamphetamine different from and more dangerous than other mood-altering substances?

Accepted Answer

A) The drug itself is highly combustible,so both makers and users have suffered severe burns when injecting it 
B) Methamphetamine helps users become more productive and energetic,so people find it helpful at work and home and want to continue using it 
C) It provides more pleasurable effects more quickly than other mood-altering drugs,so persons become addicted more quickly 
D) Severe neurological changes occur in the brain very quickly,often even with the first dose. 
A) The drug itself is highly combustible,so both makers and users have suffered severe burns when injecting it 
B) Methamphetamine helps users become more productive and energetic,so people find it helpful at work and home and want to continue using it 
C) It provides more pleasurable effects more quickly than other mood-altering drugs,so persons become addicted more quickly 
D) Severe neurological changes occur in the brain very quickly,often even with the first dose. D

Question 2

"I don't understand," the woman said."It's my husband who is the alcoholic,not me.Why are you asking me to get involved in his treatment?" Which is the most appropriate response by the nurse?

Accepted Answer

A) "You are codependent.You will need to learn how to function independently." 
B) "You are an enabler covering up for your husband,and you have to learn how not to do that." 
C) "You are as ill as he is,just in a different way.You also need treatment." 
D) "You have been hurt by his drinking; you will need support as you try to help your husband stop drinking." 
A) "You are codependent.You will need to learn how to function independently." 
B) "You are an enabler covering up for your husband,and you have to learn how not to do that." 
C) "You are as ill as he is,just in a different way.You also need treatment." 
D) "You have been hurt by his drinking; you will need support as you try to help your husband stop drinking." D

Question 3

Which behavior is a warning that a person is no longer just using a drug's recreationally but is abusing drugs and becoming addicted?

Accepted Answer

A) The person decides to try a new drug,claiming to be curious 
B) The person is using the drug more frequently than before 
C) The person joins a friend in using drugs in a social situation 
D) The person is less able to control frequency and amount of indulging. 
A) The person decides to try a new drug,claiming to be curious 
B) The person is using the drug more frequently than before 
C) The person joins a friend in using drugs in a social situation 
D) The person is less able to control frequency and amount of indulging. D

Question 4

An African American male was addicted to drugs,received treatment,and now needs to resist abusing drugs again.Which barriers exist for this individual? (Select all that apply.)

Accepted Answer

A) Being arrested when caught rather than receiving treatment 
B) Difficulty obtaining employment 
C) Easy access to illegal drugs in the community 
D) Economic rewards for selling or distributing drugs to others 
E) Family demands,including children being physically active and noisy
F)Pressure from drug-using friends to join them in social events 
A) Being arrested when caught rather than receiving treatment 
B) Difficulty obtaining employment 
C) Easy access to illegal drugs in the community 
D) Economic rewards for selling or distributing drugs to others 
E) Family demands,including children being physically active and noisy
F)Pressure from drug-using friends to join them in social events

Question 5

Which way(s)can physicians enable drug abuse? (Select all that apply.)

Accepted Answer

A) Prescribing psychoactive medications to a new patient who was claiming anxiety and insomnia 
B) Prescribing psychoactive medications to make a patient feel better during a time of situational stress 
C) Prescribing nonrefillable small doses of psychoactive medications in response to short-term problems 
D) Refusing to prescribe psychoactive medications even if the patient has severe pain so the patient must seek self-medication with illegal substances or alcohol 
E) Suggesting psychoactive medications for pain relief after surgical treatment
F)With drugs so available,the physician can use drugs for a temporary problem; feeling relief may lead to self-addiction. 
A) Prescribing psychoactive medications to a new patient who was claiming anxiety and insomnia 
B) Prescribing psychoactive medications to make a patient feel better during a time of situational stress 
C) Prescribing nonrefillable small doses of psychoactive medications in response to short-term problems 
D) Refusing to prescribe psychoactive medications even if the patient has severe pain so the patient must seek self-medication with illegal substances or alcohol 
E) Suggesting psychoactive medications for pain relief after surgical treatment
F)With drugs so available,the physician can use drugs for a temporary problem; feeling relief may lead to self-addiction.

Question 6

Which is crucial during the detoxification phase of the addiction process?

Accepted Answer

A) Controlling the environment,so drugs cannot be obtained 
B) Maintaining a therapeutic relationship with the client 
C) Maintaining communication with the client's family 
D) Managing the acute withdrawal symptoms 
A) Controlling the environment,so drugs cannot be obtained 
B) Maintaining a therapeutic relationship with the client 
C) Maintaining communication with the client's family 
D) Managing the acute withdrawal symptoms

Question 7

Which preventable health problem is the cause of more deaths,illnesses,and disabilities than any other?

Accepted Answer

A) Use of tobacco 
B) Obesity 
C) Sexually transmitted diseases (STDs) 
D) Substance abuse 
A) Use of tobacco 
B) Obesity 
C) Sexually transmitted diseases (STDs) 
D) Substance abuse

Question 8

Which best explains what experts believe is the causative factor in the decline in total alcohol consumption?

Accepted Answer

A) Americans prefer less dangerous mood-altering substances 
B) Increased "sin" taxes on alcohol and tobacco nationwide 
C) Less social tolerance and no-drinking-while-driving campaigns 
D) So many movies about teenaged drinking make alcohol look adolescent 
A) Americans prefer less dangerous mood-altering substances 
B) Increased "sin" taxes on alcohol and tobacco nationwide 
C) Less social tolerance and no-drinking-while-driving campaigns 
D) So many movies about teenaged drinking make alcohol look adolescent

Question 9

Which best explains what children of alcoholics do when they become adults with families?

Accepted Answer

A) They do not touch alcohol because they know the problems it brings 
B) They do not use alcohol but may use other drugs 
C) They manage to use alcohol in social situations but not otherwise 
D) They themselves are at high risk for becoming alcoholics. 
A) They do not touch alcohol because they know the problems it brings 
B) They do not use alcohol but may use other drugs 
C) They manage to use alcohol in social situations but not otherwise 
D) They themselves are at high risk for becoming alcoholics.

Question 10

A female student was extremely upset over her test results.She thought she had studied thoroughly,but her test grade would be totally unacceptable to her parents.Her friend said,"Come on,it's just the first course test.You'll do better on the next one.Let's go out and have a drink.You'll feel much better." After the first drink,how will the upset student most likely feel?

Accepted Answer

A) A bit nauseous 
B) More relaxed and comfortable 
C) Ready to have a second 
D) Very thirsty 
A) A bit nauseous 
B) More relaxed and comfortable 
C) Ready to have a second 
D) Very thirsty

Question 11

Which age group has the highest prevalence of binge drinking and heavy drinking?

Accepted Answer

A) Adults aged 45 to 65 years 
B) Adult business persons,aged 25 to 45 years 
C) Both genders of depressed elderly,aged 65 years and up 
D) Young adults aged 18 to 25 years 
A) Adults aged 45 to 65 years 
B) Adult business persons,aged 25 to 45 years 
C) Both genders of depressed elderly,aged 65 years and up 
D) Young adults aged 18 to 25 years

Question 12

Which mood-altering substances are considered acceptable to use by current Western society?

Accepted Answer

A) Alcohol 
B) Amphetamines 
C) Barbiturates 
D) Nicotine 
A) Alcohol 
B) Amphetamines 
C) Barbiturates 
D) Nicotine

Question 13

A client has refused to stop drinking alcohol.Which action should be taken by the nurse?

Accepted Answer

A) Ask a physician to admit the patient to the acute care hospital 
B) Attempt harm reduction to help the client reduce drinking 
C) Cease giving care because the client is totally noncompliant 
D) Seek to have the patient admitted as a mental health client. 
A) Ask a physician to admit the patient to the acute care hospital 
B) Attempt harm reduction to help the client reduce drinking 
C) Cease giving care because the client is totally noncompliant 
D) Seek to have the patient admitted as a mental health client.

Question 14

-A client has recently been diagnosed with a substance use disorder.Which criteria would be used to diagnose a client with this disorder? (Select all that apply.)

Accepted Answer

A) Withdrawal symptoms 
B) Tolerance of the substance 
C) Social problems related to use of the substance 
D) Experimentation with new substances 
E) Repeated attempts to control use of the substance without success
F)Neglect of major roles in order to use the substance 
A) Withdrawal symptoms 
B) Tolerance of the substance 
C) Social problems related to use of the substance 
D) Experimentation with new substances 
E) Repeated attempts to control use of the substance without success
F)Neglect of major roles in order to use the substance

Question 15

A registered nurse is discovered stealing a patient's narcotic medication for personal use.Which is most likely to happen to the nurse?

Accepted Answer

A) The nurse can be sued by the patient for pain and suffering (because the patient did not get the medication prescribed) 
B) The nurse who shows acceptance of a drug problem may be allowed limited practice under supervision while undergoing treatment and monitoring 
C) The nurse will go to jail like any criminal caught stealing 
D) The nurse will lose employment,as well as the license allowing professional practice. 
A) The nurse can be sued by the patient for pain and suffering (because the patient did not get the medication prescribed) 
B) The nurse who shows acceptance of a drug problem may be allowed limited practice under supervision while undergoing treatment and monitoring 
C) The nurse will go to jail like any criminal caught stealing 
D) The nurse will lose employment,as well as the license allowing professional practice.

Question 16

Which best describes why it is crucial to never use the label of "addiction"?

Accepted Answer

A) Labeling invites ridicule by other people 
B) Labeling someone avoids actually taking action to correct the behavior 
C) Labels have a tendency to remain throughout the person's life 
D) Labels influence self-perception,and behavior will begin to fulfill the label. 
A) Labeling invites ridicule by other people 
B) Labeling someone avoids actually taking action to correct the behavior 
C) Labels have a tendency to remain throughout the person's life 
D) Labels influence self-perception,and behavior will begin to fulfill the label.

Question 17

Which are basic components of 12-step programs to help treat addictive behaviors such as alcoholism? (Select all that apply.)

Accepted Answer

A) A willingness to change 
B) Attempts to make amends for wrongs done to others 
C) Daily attendance at a self-support group meeting 
D) Open recognition of weaknesses and request for help from others 
E) Public explanation of sins and future plans for resisting temptation
F)Recognition of personal strengths and weaknesses 
A) A willingness to change 
B) Attempts to make amends for wrongs done to others 
C) Daily attendance at a self-support group meeting 
D) Open recognition of weaknesses and request for help from others 
E) Public explanation of sins and future plans for resisting temptation
F)Recognition of personal strengths and weaknesses

Question 18

Which legislation has increased funding for treatment and rehabilitation for substance abuse?

Accepted Answer

A) Drug Abuse Prevention and Control Act 
B) Anti-Drug Abuse Acts of 1986 and 1988 
C) Omnibus Transportation Employee Testing Act 
D) Harrison Narcotic Act of 1914 
A) Drug Abuse Prevention and Control Act 
B) Anti-Drug Abuse Acts of 1986 and 1988 
C) Omnibus Transportation Employee Testing Act 
D) Harrison Narcotic Act of 1914

Question 19

Which is the most commonly used illegal mood-altering substance?

Accepted Answer

A) Cocaine or crack ecstasy 
B) Heroin 
C) Marijuana 
D) Methamphetamine or speed 
A) Cocaine or crack ecstasy 
B) Heroin 
C) Marijuana 
D) Methamphetamine or speed

Question 20

A family was dependent on the dad for financial support,and now he is in treatment for alcoholism.The wife asks you how long this will take.Which would be the most appropriate response by the nurse?

Accepted Answer

A) "Don't worry about length of time.Focus on helping him avoid alcohol." 
B) "It all depends on how badly he wants to hold the family together as opposed to enjoying the relief of drinking again." 
C) "Once an alcoholic,always an alcoholic.He'll have to avoid liquor the rest of his life." 
D) "Remaining in treatment is crucial; it must last long enough to produce stable behavioral changes." 
A) "Don't worry about length of time.Focus on helping him avoid alcohol." 
B) "It all depends on how badly he wants to hold the family together as opposed to enjoying the relief of drinking again." 
C) "Once an alcoholic,always an alcoholic.He'll have to avoid liquor the rest of his life." 
D) "Remaining in treatment is crucial; it must last long enough to produce stable behavioral changes."

Exam 27: Substance Abuse

In which way is methamphetamine different from and more dangerous than other mood-altering substances?

"I don't understand," the woman said."It's my husband who is the alcoholic,not me.Why are you asking me to get involved in his treatment?" Which is the most appropriate response by the nurse?

Which behavior is a warning that a person is no longer just using a drug's recreationally but is abusing drugs and becoming addicted?

An African American male was addicted to drugs,received treatment,and now needs to resist abusing drugs again.Which barriers exist for this individual? (Select all that apply.)

Which way(s)can physicians enable drug abuse? (Select all that apply.)

Which is crucial during the detoxification phase of the addiction process?

Which preventable health problem is the cause of more deaths,illnesses,and disabilities than any other?

Which best explains what experts believe is the causative factor in the decline in total alcohol consumption?

Which best explains what children of alcoholics do when they become adults with families?

Which age group has the highest prevalence of binge drinking and heavy drinking?

Which mood-altering substances are considered acceptable to use by current Western society?

A client has refused to stop drinking alcohol.Which action should be taken by the nurse?

-A client has recently been diagnosed with a substance use disorder.Which criteria would be used to diagnose a client with this disorder? (Select all that apply.)

A registered nurse is discovered stealing a patient's narcotic medication for personal use.Which is most likely to happen to the nurse?

Which best describes why it is crucial to never use the label of "addiction"?

Which are basic components of 12-step programs to help treat addictive behaviors such as alcoholism? (Select all that apply.)

Which legislation has increased funding for treatment and rehabilitation for substance abuse?

Which is the most commonly used illegal mood-altering substance?

A family was dependent on the dad for financial support,and now he is in treatment for alcoholism.The wife asks you how long this will take.Which would be the most appropriate response by the nurse?

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