Question 1

The rationale for using methadone in the treatment of heroin abuse as a substitute for heroin is that methadone:

Accepted Answer

A)  Substitutes one opioid for another. 
B)  Is less constipating than heroin. 
C)  Does not give the "rush" that a person addicted to heroin is looking for. 
D)  Is a synthetic opioid, which makes it less addicting. 
A)  Substitutes one opioid for another. 
B)  Is less constipating than heroin. 
C)  Does not give the "rush" that a person addicted to heroin is looking for. 
D)  Is a synthetic opioid, which makes it less addicting.

Question 2

When an alcoholic,who was brought in 12 hours earlier in an intoxicated state,begins to exhibit tremors,has increased blood pressure,and is agitated,the nurse assesses that the patient is in:

Accepted Answer

A)  Major withdrawal 
B)  Early withdrawal 
C)  Delirium tremens 
D)  Minor withdrawal 
A)  Major withdrawal 
B)  Early withdrawal 
C)  Delirium tremens 
D)  Minor withdrawal

Question 3

The nurse documents signs of Wernicke encephalopathy in a patient with long-term alcoholism.These signs include:

Accepted Answer

A)  Confabulation 
B)  Ataxia 
C)  Delirium 
D)  Decreasing level of consciousness 
E)  Projectile vomiting 
A)  Confabulation 
B)  Ataxia 
C)  Delirium 
D)  Decreasing level of consciousness 
E)  Projectile vomiting

Question 4

In some cases,patients will use drugs or alcohol to treat the disturbing symptoms of a psychiatric disease.This scenario presents a problem,because the potential exists to:

Accepted Answer

A)  Cause a mixed-drug reaction, which may heighten the effects of both drugs. 
B)  Decrease psychiatric symptoms, which makes the psychiatric condition harder to treat. 
C)  Cause an accidental overdose by mixing alcohol with anxiolytic medications, antipsychotic medications, or antidepressant agents. 
D)  Cause an increase in psychiatric symptoms, because the psychiatric drugs become less effective in the presence of alcohol. 
A)  Cause a mixed-drug reaction, which may heighten the effects of both drugs. 
B)  Decrease psychiatric symptoms, which makes the psychiatric condition harder to treat. 
C)  Cause an accidental overdose by mixing alcohol with anxiolytic medications, antipsychotic medications, or antidepressant agents. 
D)  Cause an increase in psychiatric symptoms, because the psychiatric drugs become less effective in the presence of alcohol.

Question 5

Substance abuse might be suspected in a patient who has a(n):

Accepted Answer

A)  Abnormal liver function test and a gastrointestinal (GI) bleed. 
B)  Positive syphilis screen and varicose veins. 
C)  Fungal infection and a potassium level of 4.2. mEq/L. 
D)  Decreased albumin level and creatinine level of 1.2 mg/dl. 
A)  Abnormal liver function test and a gastrointestinal (GI) bleed. 
B)  Positive syphilis screen and varicose veins. 
C)  Fungal infection and a potassium level of 4.2. mEq/L. 
D)  Decreased albumin level and creatinine level of 1.2 mg/dl.

Question 6

The adolescent is extremely vulnerable to substance abuse because the adolescent:

Accepted Answer

A)  Is egocentric. 
B)  Can use good judgment. 
C)  Has poor impulse control. 
D)  Is aware of possible consequences. 
E)  Wants peer identification. 
A)  Is egocentric. 
B)  Can use good judgment. 
C)  Has poor impulse control. 
D)  Is aware of possible consequences. 
E)  Wants peer identification.

Question 7

A urine drug screen is ordered for a patient suspected of a driving while intoxicated (DWI).The nurse explains that the drugs that are being screened can include:

Accepted Answer

A)  Lysergic acid diethylamide (LS
D) , Valium, and Percocet. 
B)  Crack, heroin, and nonsteroidal antiinflammatory drugs (NSAIDs). 
C)  Marijuana, amphetamines, and Elavil. 
D)  Librium, cocaine, and Zoloft. 
A)  Lysergic acid diethylamide (LS
D) , Valium, and Percocet. 
B)  Crack, heroin, and nonsteroidal antiinflammatory drugs (NSAIDs). 
C)  Marijuana, amphetamines, and Elavil. 
D)  Librium, cocaine, and Zoloft.

Question 8

The nurse explains that because the drug disulfiram (Antabuse)is deemed inappropriate,the patient has been put on the most reliable substitute,____________________,which causes similar but less severe side effects in the alcoholic who continues to drink.

Accepted Answer

Flagyl
Metronidazole (Flagyl),

Question 9

A patient with an alcohol addiction says,"My drinking is all my wife's fault.She makes me so crazy I just have to have a drink." This is an example of:

Accepted Answer

A)  Rationalization 
B)  Denial 
C)  Intellectualization 
D)  Projection 
A)  Rationalization 
B)  Denial 
C)  Intellectualization 
D)  Projection

Question 10

A nursing diagnosis that is appropriate for a patient with substance abuse is:

Accepted Answer

A)  Anxiety 
B)  Chronic or situational low self-esteem 
C)  Risk for delayed development 
D)  Acute confusion 
A)  Anxiety 
B)  Chronic or situational low self-esteem 
C)  Risk for delayed development 
D)  Acute confusion

Exam 56: Substance-Related Disorders

The rationale for using methadone in the treatment of heroin abuse as a substitute for heroin is that methadone:

When an alcoholic,who was brought in 12 hours earlier in an intoxicated state,begins to exhibit tremors,has increased blood pressure,and is agitated,the nurse assesses that the patient is in:

The nurse documents signs of Wernicke encephalopathy in a patient with long-term alcoholism.These signs include:

In some cases,patients will use drugs or alcohol to treat the disturbing symptoms of a psychiatric disease.This scenario presents a problem,because the potential exists to:

Substance abuse might be suspected in a patient who has a(n):

The adolescent is extremely vulnerable to substance abuse because the adolescent:

A urine drug screen is ordered for a patient suspected of a driving while intoxicated (DWI).The nurse explains that the drugs that are being screened can include:

The nurse explains that because the drug disulfiram (Antabuse)is deemed inappropriate,the patient has been put on the most reliable substitute,____________________,which causes similar but less severe side effects in the alcoholic who continues to drink.

A patient with an alcohol addiction says,"My drinking is all my wife's fault.She makes me so crazy I just have to have a drink." This is an example of:

A nursing diagnosis that is appropriate for a patient with substance abuse is:

The Health Care System

Patient Care Settings

Legal and Ethical Considerations

The Leadership Role of the Licensed Practical Nurse

The Nurse-Patient Relationship

Cultural Aspects of Nursing Care

The Nurse and the Family

Health and Illness

Nutrition

Developmental Processes

The Older Patient

The Nursing Process and Critical Thinking

Inflammation, infection, and Immunity

Fluids and Electrolytes

Pain Management

First Aid, emergency Care, and Disaster Management

Surgical Care

Intravenous Therapy

Shock

Falls

Immobility

Confusion

Incontinence

Loss, death, and End-Of-Life Care

The Patient With Cancer

The Patient With an Ostomy

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Acute Respiratory Disorders

Chronic Respiratory Disorders

Hematologic Disorders

Immunologic Disorders

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive Tract Disorders

Disorders of the Liver, gallbladder, and Pancreas

Urologic Disorders

Connective Tissue Disorders

Fractures

Amputations

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes Mellitus and Hypoglycemia

Female Reproductive Disorders

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders

Nose, sinus, and Throat Disorders

Psychologic Responses to Illness

Psychiatric Disorders

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