Question 1

Which of the following 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 A, B, F

Question 2

Which of the following trends in drug use is being seen among young adults?

Accepted Answer

A)  Decrease in the use of illegal cocaine derivatives 
B)  Expansion in the misuse of prescription drugs 
C)  Large increase in the use of steroids and methamphetamines 
D)  Increase in the overall use of all types of drugs 
A)  Decrease in the use of illegal cocaine derivatives 
B)  Expansion in the misuse of prescription drugs 
C)  Large increase in the use of steroids and methamphetamines 
D)  Increase in the overall use of all types of drugs C

Question 3

Which of the following 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 C

Question 4

Which of the following scenarios would most likely suggest that the person may be engaging in substance abuse? (Select all that apply.)

Accepted Answer

A)  All the people in the elevator edged away from the student who reeked of tobacco smoke. 
B)  She declined his invitation; all he ever seemed to do was go to bars and drink. 
C)  Because of a family emergency, the student called the instructor to explain her absence and ask for the assignments for next week. 
D)  The campus police were called to control the student engaging in public indecency and disorderly conduct. 
E)  The officer pulled the driver over for apparently driving under the influence.
F) The student told her friend she had too much to drink last night and to cover for her in class. 
A)  All the people in the elevator edged away from the student who reeked of tobacco smoke. 
B)  She declined his invitation; all he ever seemed to do was go to bars and drink. 
C)  Because of a family emergency, the student called the instructor to explain her absence and ask for the assignments for next week. 
D)  The campus police were called to control the student engaging in public indecency and disorderly conduct. 
E)  The officer pulled the driver over for apparently driving under the influence.
F) The student told her friend she had too much to drink last night and to cover for her in class.

Question 5

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, wont'he just resent us and keep on drinking?" Which of the following 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 6

Which of the following 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 7

Which of the following 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 8

Which of the following drugs 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 9

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 10

Which of the following 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 of the following behaviors is a warning that a person is no longer just using a drugs 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.

Question 12

Which of the following 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 13

Which of the following 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 14

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 of the following 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 15

A client has refused to stop drinking alcohol. Which of the following actions 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 16

Which of the following 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 17

Which of the following has shown a significant increase in usage among young people during the past five years?

Accepted Answer

A)  Use of marijuana 
B)  Use of cigarettes 
C)  Use of smokeless tobacco 
D)  Use of alcohol 
A)  Use of marijuana 
B)  Use of cigarettes 
C)  Use of smokeless tobacco 
D)  Use of alcohol

Question 18

Which of the following 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 19

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, gluing and painting pieces. Which of the following 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 20

Which of the following 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

Exam 26: Substance Abuse

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

Which of the following trends in drug use is being seen among young adults?

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

Which of the following scenarios would most likely suggest that the person may be engaging in substance abuse? (Select all that apply.)

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

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

Which of the following drugs is being widely manufactured within the United States?

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

Which of the following behaviors is a warning that a person is no longer just using a drugs recreationally but is abusing drugs and becoming addicted?

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

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

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

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

Which of the following has shown a significant increase in usage among young people during the past five years?

Which of the following best explains why drug abusers so often relapse?

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, gluing and painting pieces. Which of the following may be concerning to the nurse?

Which of the following best describes a professional enabler?

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