Question 1

A nurse recommends to a school board that other methods besides the "just say no" approach be considered when providing drug use prevention education to the elementary students. Which of the following best describes the rationale for this recommendation?
A) Children do not like to hear the word "no," and the approach is too negative.
B) Project DARE is more effective and has decreased drug use.
C) Children are naturally curious and may experiment with drugs.
D) "Just say no" to drugs does not include smoking and alcohol abuse.

Accepted Answer

Children are naturally curious, and telling them to "just say no" without providing context, understanding, or addressing their curiosity can be less effective. This approach may not fully deter them from experimenting with drugs, as it doesn't address the underlying reasons why children might be interested in trying drugs in the first place.

Question 2

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) 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

Accepted Answer

Urinalysis for drug testing is primarily used to detect the presence of drugs or their metabolites in the urine, indicating whether a certain drug has been used recently. It does not measure the degree of intoxication, performance impairment, or the quantity of alcohol consumed.

Question 3

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

Accepted Answer

The answer of A nurse is caring for adolescents who...

Question 4

A nurse is giving advice using the acronym FRAMES. Which of the following actions would most likely be taken by the nurse?
A) Offer a suggestion as to how the behavior should change.
B) Provide clear guidance to change risky behavior.
C) Refer the client to a local support group.
D) Emphasize the need for others to support the client's change.

Accepted Answer

The answer of A nurse is giving advice using the...

Question 5

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) 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?

Accepted Answer

Asking how often the client uses the drug helps the nurse understand the frequency and potential dependency, which is crucial for assessing drug use patterns.

Question 6

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

Accepted Answer

Tertiary prevention aims to support and manage established diseases or conditions to prevent further deterioration, complications, or suffering. Creating a support group for those already diagnosed with addiction helps manage the condition and prevent further negative outcomes, fitting the definition of tertiary prevention.

Question 7

A nurse is assessing a client for addiction. Which of the following primary symptoms of addiction should the nurse recognize?
A) Anger
B) Apathy
C) Denial
D) Violence

Accepted Answer

Denial is a primary symptom of addiction, as individuals often fail to acknowledge their behavior and its consequences.

Question 8

A nurse is caring for a client who has a history of chronic alcohol abuse. Which of the following medical problems should the nurse anticipate? (Select all that apply.)
A) Gastrointestinal disturbances
B) Cardiac dysrhythmias
C) Depression
D) Organic brain syndrome
E) Hepatitis B

Accepted Answer

Chronic alcohol abuse can lead to a variety of health issues, including gastrointestinal disturbances due to the direct toxic effect of alcohol on the gastrointestinal tract, cardiac dysrhythmias from the impact of alcohol on the heart and electrolyte imbalances, depression as alcohol is a central nervous system depressant, and organic brain syndrome due to the neurotoxic effects of alcohol leading to cognitive impairments. Hepatitis B is a viral infection, not directly caused by alcohol abuse, although alcoholics are at higher risk of contracting it due to compromised liver function and potentially risky behaviors.

Question 9

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

Accepted Answer

Lobbying for legislation to prohibit smoking in public places is an example of primary prevention, as it aims to prevent health problems before they occur by eliminating risk factors, in this case, exposure to tobacco smoke.

Question 10

A nurse is implementing the harm reduction model. Which of the following will be the focus of nurse when using this approach?
A) Education
B) Law enforcement
C) Scare tactics
D) Rehabilitation

Accepted Answer

The answer of A nurse is implementing the harm reduction...

Question 11

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?
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

Accepted Answer

Using bleach to clean needles between uses is a harm reduction strategy that can significantly reduce the risk of HIV transmission among injection drug users (IDUs) when new, sterile needles are not available. This practice is crucial for preventing the spread of HIV and other blood-borne infections in this population.

Question 12

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

Accepted Answer

The correct answer is D because it encompasses the broader context of drug use, including the physical, social, and cultural environments. This holistic view is essential for understanding the settings of drug experiences beyond just the location or the individuals involved.

Question 13

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

Accepted Answer

Peers play the most important role in the treatment of alcoholism at AA support groups because they provide a sense of community and support for individuals who are struggling with alcohol addiction. Peers can share their experiences, offer advice, and provide encouragement to help individuals stay sober.

Quiz 37: Alcohol, Tobacco and Other Drug Problems

A nurse recommends to a school board that other methods besides the "just say no" approach be considered when providing drug use prevention education to the elementary students. Which of the following best describes the rationale for this recommendation?

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 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 is giving advice using the acronym FRAMES. Which of the following actions would most likely be taken by the nurse?

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 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 assessing a client for addiction. Which of the following primary symptoms of addiction should the nurse recognize?

A nurse is caring for a client who has a history of chronic alcohol abuse. Which of the following medical problems should the nurse anticipate? (Select all that apply.)

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 implementing the harm reduction model. Which of the following will be the focus of nurse when using this approach?

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?

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

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?