Question 1

Which of the following age groups 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 2

A young teenager was habitually engaging in binge drinking with friends on weekends. Which of the following 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 3

Which of the following 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 4

An African American male was addicted to drugs, received treatment, and now needs to resist abusing drugs again. Which of the following 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 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 6

In which of the following ways 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.

Question 7

Which of the following preventable health problems 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 of the following 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 9

Which of the following scenarios involves a student who may be susceptible to problems secondary to substance dependence? (Select all that apply.)

Accepted Answer

A)  As soon as the student stepped outside the classroom, she lit a cigarette and inhaled deeply. 
B)  The athlete was very proud of all the medals he had won in wrestling, even if he was worried about managing his anger outside of the gym. 
C)  The car proceeded into the college parking lot, slowed, and stopped; the driver leaned out and vomited onto the street, then shut the door and proceeded into a parking space. 
D)  The student had a splitting headache so took two aspirins out of the "care package" his mom had sent him over the holidays. 
E)  The students met each night in a dorm room and proceeded to share several "herbal" cigarettes.
F) The young woman in the student cafeteria ordered a third large cup of coffee and, hands shaking, continued to study for her examination. 
A)  As soon as the student stepped outside the classroom, she lit a cigarette and inhaled deeply. 
B)  The athlete was very proud of all the medals he had won in wrestling, even if he was worried about managing his anger outside of the gym. 
C)  The car proceeded into the college parking lot, slowed, and stopped; the driver leaned out and vomited onto the street, then shut the door and proceeded into a parking space. 
D)  The student had a splitting headache so took two aspirins out of the "care package" his mom had sent him over the holidays. 
E)  The students met each night in a dorm room and proceeded to share several "herbal" cigarettes.
F) The young woman in the student cafeteria ordered a third large cup of coffee and, hands shaking, continued to study for her examination.

Question 10

Which of the following 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 non-refillable 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 non-refillable 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 11

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 of the following 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 12

Which of the following 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 13

Which of the following 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.

Question 14

Which of the following 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 15

A man had managed not to drink for over two years, but today, when he was told his position was being eliminated, he drank himself into a stupor. Which of the following approaches 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 16

"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 of the following 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"

Question 17

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 of the following 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."

Question 18

A registered nurse is discovered stealing a patient's narcotic medication for personal use. Which of the following 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.

Exam 26: Substance Abuse

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

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

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

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

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

In which of the following ways is methamphetamine different from and more dangerous than other mood-altering substances?

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

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

Which of the following scenarios involves a student who may be susceptible to problems secondary to substance dependence? (Select all that apply.)

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

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 of the following would the nurse most likely suspect from this interaction?

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

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

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

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

"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 of the following is the most appropriate response by the nurse?

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 of the following would be the most appropriate response by the nurse?

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

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