Question 1

Which is the drug of choice for treating persons with alcohol withdrawal?

Accepted Answer

A) Antabuse 
B) Benzodiazepines 
C) Methadone 
D) Naltrexone 
A) Antabuse 
B) Benzodiazepines 
C) Methadone 
D) Naltrexone

Question 2

Which best explains why anyone would ever experiment with an illegal substance?

Accepted Answer

A) As a way of rebelling against parental authority 
B) Because it is forbidden 
C) For the thrill of it-without getting caught 
D) Friends are encouraging it 
A) As a way of rebelling against parental authority 
B) Because it is forbidden 
C) For the thrill of it-without getting caught 
D) Friends are encouraging it

Question 3

A man was told by his boss that his work had really gone downhill recently and he had to improve or the boss would have to let him go.His wife had moved out of the apartment.Obviously,the drug use was causing problems.Which would cause the man to continue to use? (Select all that apply.)

Accepted Answer

A) He had paid a lot for this stuff so he had just finished using what he had and then he had quit 
B) He rationalized he was just hitting a rough spot and,as soon as he got over his wife's betrayal,he would quit using and his job would be fine 
C) He tried to quit,but the withdrawal symptoms were so severe he could not 
D) He verbalized quitting,but his new friends scoffed at him 
E) His boss clearly did not understand what he was dealing with and had not a clue what pressure he was under-so ignoring him was the only option
F)He knew drug use made him legally handicapped so his boss could not fire him even if he wanted to. 
A) He had paid a lot for this stuff so he had just finished using what he had and then he had quit 
B) He rationalized he was just hitting a rough spot and,as soon as he got over his wife's betrayal,he would quit using and his job would be fine 
C) He tried to quit,but the withdrawal symptoms were so severe he could not 
D) He verbalized quitting,but his new friends scoffed at him 
E) His boss clearly did not understand what he was dealing with and had not a clue what pressure he was under-so ignoring him was the only option
F)He knew drug use made him legally handicapped so his boss could not fire him even if he wanted to.

Question 4

Which trend in illicit drug use is being seen among adults over age 50?

Accepted Answer

A) The rate of illicit drug use increased until 2011 but has shown a recent decline 
B) The rate of illicit drug use has remained stable for the past several years 
C) The rate of illicit drug use is increasing 
D) The rate of illicit drug use is decreasing. 
A) The rate of illicit drug use increased until 2011 but has shown a recent decline 
B) The rate of illicit drug use has remained stable for the past several years 
C) The rate of illicit drug use is increasing 
D) The rate of illicit drug use is decreasing.

Question 5

Which best describes a professional enabler?

Accepted Answer

A) A spouse who has been enabling an abuser for several years 
B) A physician who provides narcotic analgesics to patients on a regular basis 
C) A clergyman who offers to take an abuser to an Alcoholics Anonymous meeting 
D) A child who is a caretaker for her substance abusing mother 
A) A spouse who has been enabling an abuser for several years 
B) A physician who provides narcotic analgesics to patients on a regular basis 
C) A clergyman who offers to take an abuser to an Alcoholics Anonymous meeting 
D) A child who is a caretaker for her substance abusing mother

Question 6

A young teenager was habitually engaging in binge drinking with friends on weekends.Which would be a long-term concern of this behavior?

Accepted Answer

A) He might have to drive to get together with them and then drive home after drinking 
B) Legal drug use almost always precedes use of illegal drugs 
C) Obesity is a major health problem,and alcohol is very high in calories 
D) The teenager's parents are obviously a dysfunctional family. 
A) He might have to drive to get together with them and then drive home after drinking 
B) Legal drug use almost always precedes use of illegal drugs 
C) Obesity is a major health problem,and alcohol is very high in calories 
D) The teenager's parents are obviously a dysfunctional family.

Question 7

A 14-year-old girl came with her family to the clinic as her father picked up his medication.The girl became anxious and said she had to go home soon to clean the house and start dinner.Which would the nurse most likely suspect from this interaction?

Accepted Answer

A) As Freud pointed out,girls try to take over the wife role with their dad 
B) The girl did not want to admit her dad was a drug addict and was trying to get away from an uncomfortable environment 
C) The girl is taking on the role of hero with responsibility for caretaking functions 
D) The girl was afraid she would be seen with her dad,a known drug addict,in a public place. 
A) As Freud pointed out,girls try to take over the wife role with their dad 
B) The girl did not want to admit her dad was a drug addict and was trying to get away from an uncomfortable environment 
C) The girl is taking on the role of hero with responsibility for caretaking functions 
D) The girl was afraid she would be seen with her dad,a known drug addict,in a public place.

Question 8

A man had managed not to drink for over 2 years,but today,when he was told his position was being eliminated,he drank himself into a stupor.Which approach should the nurse take with this client?

Accepted Answer

A) Admit the man is an alcoholic and always will be 
B) Consider the relapse a learning opportunity and discuss options for coping with problems 
C) Have him arrested for disorderly conduct in the hope that jail will get his attention and scare him into avoiding future use 
D) Suggest inpatient treatment,where he will not be able to access alcohol 
A) Admit the man is an alcoholic and always will be 
B) Consider the relapse a learning opportunity and discuss options for coping with problems 
C) Have him arrested for disorderly conduct in the hope that jail will get his attention and scare him into avoiding future use 
D) Suggest inpatient treatment,where he will not be able to access alcohol

Question 9

Which best explains why most states have the legal drinking age set at 21 years old?

Accepted Answer

A) At 21 years of age,most Americans consider a person an adult 
B) College is completed,and employment has begun by 21 years of age 
C) Most 21-year-olds are self-supporting and no longer dependent on parents 
D) The alcohol-related death rate rose alarmingly when drinking age was lowered to 18 years. 
A) At 21 years of age,most Americans consider a person an adult 
B) College is completed,and employment has begun by 21 years of age 
C) Most 21-year-olds are self-supporting and no longer dependent on parents 
D) The alcohol-related death rate rose alarmingly when drinking age was lowered to 18 years.

Question 10

Which best explains why health professionals and educators are stressing total abstinence of drugs instead of teaching appropriate social use?

Accepted Answer

A) Federal funds are available to schools if abstinence is stressed 
B) If students perceive a drug as harmful,fewer actually try it 
C) It is easier to avoid a substance altogether than to try to control the dose 
D) This education is consistent with our American culture. 
A) Federal funds are available to schools if abstinence is stressed 
B) If students perceive a drug as harmful,fewer actually try it 
C) It is easier to avoid a substance altogether than to try to control the dose 
D) This education is consistent with our American culture.

Question 11

Which drug is being widely manufactured within the United States?

Accepted Answer

A) Cocaine 
B) Heroin 
C) Marijuana 
D) Methamphetamine 
A) Cocaine 
B) Heroin 
C) Marijuana 
D) Methamphetamine

Question 12

A nurse plans to implement interventions at the community level to address substance use disorders.Which interventions would the nurse likely implement? (Select all that apply.)

Accepted Answer

A) Support law enforcement measures to limit access to and distribution of addictive substances (e.g.,street drugs) 
B) Provide educational programs at schools and penal institutions 
C) Facilitate mutual help groups (e.g.,Alcoholics Anonymous,Narcotics Anonymous,Cocaine Anonymous,Al-Anon) 
D) Support the development of specialty courts/problem-solving courts (drug courts,veteran courts) 
E) Create radio public service communications concerning the risks of substance abuse and the availability of treatment
F)Assist in the formation of national associations such as the National Council on Alcoholism and Drug Dependence 
A) Support law enforcement measures to limit access to and distribution of addictive substances (e.g.,street drugs) 
B) Provide educational programs at schools and penal institutions 
C) Facilitate mutual help groups (e.g.,Alcoholics Anonymous,Narcotics Anonymous,Cocaine Anonymous,Al-Anon) 
D) Support the development of specialty courts/problem-solving courts (drug courts,veteran courts) 
E) Create radio public service communications concerning the risks of substance abuse and the availability of treatment
F)Assist in the formation of national associations such as the National Council on Alcoholism and Drug Dependence

Question 13

A woman was bragging about her 12-year-old son who was quiet and spent a lot of his time in his room building model airplanes,and gluing and painting pieces.Which may be concerning to the nurse?

Accepted Answer

A) Being preadolescent,he needs education on sexual growth and development 
B) He may be inhaling fumes from the aerosol paints and glues 
C) Twelve-year-olds are not usually quiet; he needs a mental health consult 
D) Twelve-year-olds need physical exercise,and he is not getting any sitting around. 
A) Being preadolescent,he needs education on sexual growth and development 
B) He may be inhaling fumes from the aerosol paints and glues 
C) Twelve-year-olds are not usually quiet; he needs a mental health consult 
D) Twelve-year-olds need physical exercise,and he is not getting any sitting around.

Question 14

Which is the treatment of choice for treating heroin addicts during withdrawal?

Accepted Answer

A) Acamprosate 
B) Benzodiazepines 
C) Methadone 
D) Naltrexone 
A) Acamprosate 
B) Benzodiazepines 
C) Methadone 
D) Naltrexone

Question 15

From who is a person aged 12 or older most likely to obtain pain relievers for nonmedical use?

Accepted Answer

A) Free from a friend or relative 
B) Purchased from a friend or relative 
C) Through a prescription from a physician 
D) Purchased on the Internet 
A) Free from a friend or relative 
B) Purchased from a friend or relative 
C) Through a prescription from a physician 
D) Purchased on the Internet

Question 16

After his family and employer confronted a man with all the problems his drinking was causing,he agreed to go into treatment.However,the wife asks,"But if we are forcing him to go into treatment,won't he just resent us and keep on drinking?" Which would be the most appropriate response by the nurse?

Accepted Answer

A) "He may resent you,but the relationship between the two of you was being ruined by his drinking anyway." 
B) "Isn't this better until waiting until he has lost his job and you're forced to seek a divorce?" 
C) "Treatment can still be effective,even if you're forcing him into it." 
D) "You're right; it's harder to treat the problem when the person is being forced into treatment,but what choice did you have?" 
A) "He may resent you,but the relationship between the two of you was being ruined by his drinking anyway." 
B) "Isn't this better until waiting until he has lost his job and you're forced to seek a divorce?" 
C) "Treatment can still be effective,even if you're forcing him into it." 
D) "You're right; it's harder to treat the problem when the person is being forced into treatment,but what choice did you have?"

Question 17

Which best explains why drug abusers so often relapse?

Accepted Answer

A) Drugs are widely available 
B) They lack a supportive environment 
C) They remember how fantastic they feel immediately after using 
D) Drugs make them feel better about life. 
A) Drugs are widely available 
B) They lack a supportive environment 
C) They remember how fantastic they feel immediately after using 
D) Drugs make them feel better about life.

Question 18

Which best explains why experts are now distinguishing between use and misuse?

Accepted Answer

A) It is easier to discuss use than to accuse persons of being drug addicts 
B) Expansion of drug treatment programs has prevented some people from becoming totally addicted 
C) Persons using prescription drugs are "users," not "misusers." 
D) Some persons may use drugs and not become dependent on them. 
A) It is easier to discuss use than to accuse persons of being drug addicts 
B) Expansion of drug treatment programs has prevented some people from becoming totally addicted 
C) Persons using prescription drugs are "users," not "misusers." 
D) Some persons may use drugs and not become dependent on them.

Exam 27: Substance Abuse

Which is the drug of choice for treating persons with alcohol withdrawal?

Which best explains why anyone would ever experiment with an illegal substance?

A man was told by his boss that his work had really gone downhill recently and he had to improve or the boss would have to let him go.His wife had moved out of the apartment.Obviously,the drug use was causing problems.Which would cause the man to continue to use? (Select all that apply.)

Which trend in illicit drug use is being seen among adults over age 50?

Which best describes a professional enabler?

A young teenager was habitually engaging in binge drinking with friends on weekends.Which would be a long-term concern of this behavior?

A 14-year-old girl came with her family to the clinic as her father picked up his medication.The girl became anxious and said she had to go home soon to clean the house and start dinner.Which would the nurse most likely suspect from this interaction?

A man had managed not to drink for over 2 years,but today,when he was told his position was being eliminated,he drank himself into a stupor.Which approach should the nurse take with this client?

Which best explains why most states have the legal drinking age set at 21 years old?

Which best explains why health professionals and educators are stressing total abstinence of drugs instead of teaching appropriate social use?

Which drug is being widely manufactured within the United States?

A nurse plans to implement interventions at the community level to address substance use disorders.Which interventions would the nurse likely implement? (Select all that apply.)

A woman was bragging about her 12-year-old son who was quiet and spent a lot of his time in his room building model airplanes,and gluing and painting pieces.Which may be concerning to the nurse?

Which is the treatment of choice for treating heroin addicts during withdrawal?

From who is a person aged 12 or older most likely to obtain pain relievers for nonmedical use?

Which best explains why drug abusers so often relapse?

Which best explains why experts are now distinguishing between use and misuse?

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