Question 1

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

Accepted Answer

A)  Precontemplation 
B)  Contemplation 
C)  Preparation 
D)  Action 
A)  Precontemplation 
B)  Contemplation 
C)  Preparation 
D)  Action B

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

A)  Precontemplation 
B)  Contemplation 
C)  Preparation 
D)  Action 
A)  Precontemplation 
B)  Contemplation 
C)  Preparation 
D)  Action C

Question 3

A nurse is assessing the drug use patterns of a client. Which of the following questions would be most appropriate for the nurse to ask?

Accepted Answer

A)  Where was the drug acquired? 
B)  Who gave the drug to you? 
C)  Why do you use the drug? 
D)  How often do you use the drug? 
A)  Where was the drug acquired? 
B)  Who gave the drug to you? 
C)  Why do you use the drug? 
D)  How often do you use the drug? D

Question 4

A nurse is assessing the community for potential settings of drug experiences. Which of the following describes what the nurse would most likely identify?

Accepted Answer

A)  A back alley or abandoned building where people are using crack. 
B)  An area at the local high school where students are known to smoke cigarettes. 
C)  The individuals using the drug, including that individual's expectations. 
D)  The physical, social, and cultural environment within which the use occurs. 
A)  A back alley or abandoned building where people are using crack. 
B)  An area at the local high school where students are known to smoke cigarettes. 
C)  The individuals using the drug, including that individual's expectations. 
D)  The physical, social, and cultural environment within which the use occurs.

Question 5

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

A)  Working with clients who have addiction problems often puts the nurse at risk for violence. 
B)  The population of persons with drug and alcohol addiction is found in low-income neighborhoods. 
C)  To be therapeutic, a nurse must develop a trusting nonjudgmental relationship with clients. 
D)  Nurses are the primary persons who treat addiction problems. 
A)  Working with clients who have addiction problems often puts the nurse at risk for violence. 
B)  The population of persons with drug and alcohol addiction is found in low-income neighborhoods. 
C)  To be therapeutic, a nurse must develop a trusting nonjudgmental relationship with clients. 
D)  Nurses are the primary persons who treat addiction problems.

Question 6

A nurse has collected a urine specimen from a client for drug testing. Which of the following best describes the purpose of a urinalysis?

Accepted Answer

A)  To assess whether a certain drug has been used in the recent past 
B)  To determine the degree of intoxication 
C)  To assess the extent of performance impairment 
D)  To determine how much alcohol was consumed 
A)  To assess whether a certain drug has been used in the recent past 
B)  To determine the degree of intoxication 
C)  To assess the extent of performance impairment 
D)  To determine how much alcohol was consumed

Question 7

A nurse partners with multiple agencies in the community to create a support group for those diagnosed with addiction in the community. Which of the following levels of prevention is being implemented?

Accepted Answer

A)  Primary 
B)  Secondary 
C)  Tertiary 
D)  Health promotion 
A)  Primary 
B)  Secondary 
C)  Tertiary 
D)  Health promotion

Question 8

A nurse is providing comprehensive education about HIV transmission for an injection drug user (IDU). Which of the following would be the most important information to include?

Accepted Answer

A)  How and where to acquire needles 
B)  Proper needle usage and possible injection sites 
C)  Spreading of the virus via homosexual activities 
D)  Using bleach between needle uses 
A)  How and where to acquire needles 
B)  Proper needle usage and possible injection sites 
C)  Spreading of the virus via homosexual activities 
D)  Using bleach between needle uses

Question 9

What is the leading cause of preventable birth defects in the United States?

Accepted Answer

A)  Cigarette smoking 
B)  Fetal alcohol syndrome 
C)  Marijuana use 
D)  HIV from sharing needles 
A)  Cigarette smoking 
B)  Fetal alcohol syndrome 
C)  Marijuana use 
D)  HIV from sharing needles

Question 10

What is the most widely used federally prohibited drug in the United States?

Accepted Answer

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

Question 11

How much alcohol can the liver metabolize in an hour?

Accepted Answer

A)  1 oz of whiskey 
B)  3 oz of wine 
C)  5 oz of wine 
D)  12 oz of beer 
A)  1 oz of whiskey 
B)  3 oz of wine 
C)  5 oz of wine 
D)  12 oz of beer

Question 12

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

Accepted Answer

A)  Tobacco addiction 
B)  Alcohol abuse 
C)  Substance abuse 
D)  Caffeine addiction 
A)  Tobacco addiction 
B)  Alcohol abuse 
C)  Substance abuse 
D)  Caffeine addiction

Question 13

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

A)  Primary level of prevention 
B)  Secondary level of prevention 
C)  Tertiary level of prevention 
D)  Primary health care prevention 
A)  Primary level of prevention 
B)  Secondary level of prevention 
C)  Tertiary level of prevention 
D)  Primary health care prevention

Question 14

The use of any substance that threatens a person's health or impairs his or her social or economic functioning is referred by what term?

Accepted Answer

A)  Drug dependence 
B)  Substance abuse 
C)  Drug addiction 
D)  Illegal 
A)  Drug dependence 
B)  Substance abuse 
C)  Drug addiction 
D)  Illegal

Question 15

Which statement about nicotine and smoking is accurate?

Accepted Answer

A)  Cigars contain higher doses of nicotine than cigarettes. 
B)  Tolerance to nicotine takes days to develop. 
C)  Sidestream smoke contains more toxic compounds than mainstream smoke. 
D)  The harsher smoke of pipes and cigars is more hazardous than cigarette smoke. 
A)  Cigars contain higher doses of nicotine than cigarettes. 
B)  Tolerance to nicotine takes days to develop. 
C)  Sidestream smoke contains more toxic compounds than mainstream smoke. 
D)  The harsher smoke of pipes and cigars is more hazardous than cigarette smoke.

Question 16

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

A)  Inhalants are among the first drugs that young children use. 
B)  Implementing the Drug Abuse Resistance Education (DAR
E)  program is the most effective way to prevent drug use. 
C)  Underage drinking is not a problem in most communities. 
D)  Early experimentation with substances decreases the likelihood of future abuse. 
A)  Inhalants are among the first drugs that young children use. 
B)  Implementing the Drug Abuse Resistance Education (DAR
E)  program is the most effective way to prevent drug use. 
C)  Underage drinking is not a problem in most communities. 
D)  Early experimentation with substances decreases the likelihood of future abuse.

Question 17

A nurse lobbies with legislators for the passage of legislation to prohibit smoking of tobacco products in public places. Which of the following levels of prevention is being implemented?

Accepted Answer

A)  Primary 
B)  Secondary 
C)  Tertiary 
D)  Health promotion 
A)  Primary 
B)  Secondary 
C)  Tertiary 
D)  Health promotion

Question 18

A nurse is caring for adolescents who have experienced substance abuse. Which of the following should the nurse recognize as a major influence in this population?

Accepted Answer

A)  Family-related factors 
B)  Positive media messages 
C)  Socioeconomic level 
D)  Peer pressure 
A)  Family-related factors 
B)  Positive media messages 
C)  Socioeconomic level 
D)  Peer pressure

Question 19

A nurse refers a client to alcoholics anonymous (AA). Who will play the most important role in the treatment of alcoholism at this support group?

Accepted Answer

A)  Self 
B)  Spouses 
C)  Children 
D)  Peers 
A)  Self 
B)  Spouses 
C)  Children 
D)  Peers

Question 20

What is the oldest and most widely used psychoactive drug in the world?

Accepted Answer

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

Exam 37: Alcohol, Tobacco and Other Drug Problems

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

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?

A nurse is assessing the drug use patterns of a client. Which of the following questions would be most appropriate for the nurse to ask?

A nurse is assessing the community for potential settings of drug experiences. Which of the following describes what the nurse would most likely identify?

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

A nurse has collected a urine specimen from a client for drug testing. Which of the following best describes the purpose of a urinalysis?

A nurse partners with multiple agencies in the community to create a support group for those diagnosed with addiction in the community. Which of the following levels of prevention is being implemented?

A nurse is providing comprehensive education about HIV transmission for an injection drug user (IDU). Which of the following would be the most important information to include?

What is the leading cause of preventable birth defects in the United States?

What is the most widely used federally prohibited drug in the United States?

How much alcohol can the liver metabolize in an hour?

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

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?

The use of any substance that threatens a person's health or impairs his or her social or economic functioning is referred by what term?

Which statement about nicotine and smoking is accurate?

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?

A nurse lobbies with legislators for the passage of legislation to prohibit smoking of tobacco products in public places. Which of the following levels of prevention is being implemented?

A nurse is caring for adolescents who have experienced substance abuse. Which of the following should the nurse recognize as a major influence in this population?

A nurse refers a client to alcoholics anonymous (AA). Who will play the most important role in the treatment of alcoholism at this support group?

What is the oldest and most widely used psychoactive drug in the world?

Public Health Foundations and Population Health

History of Public Health and Public and Community Health Nursing

Public Health, Primary Care, and Primary Health

Perspectives in Global Health Care

Economics of Health Care Delivery

Environmental Health

Application of Ethics in the Community

Achieving Cultural Competence in Community Health Nursing

Public Health Policy

Evidence-Based Practice

Population-Based Public Health Nursing Practice: the Intervention Wheel

Genomics in Public Health Nursing

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Communicable and Infectious Disease Risks

Promoting Healthy Communities

Community As Client: Assessment and Analysis

Building a Culture of Health to Influence Health Equity Within Communities

Health Education Principles Applied in Communities, Groups, Families, and Individuals for Healthy Change

The Nurse Managed Health Center: a Model for Public Health Nursing Practice

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