Deck 6: Risks Related to Substance Use Disorders

Question 1

When planning care, the nurse in a substance abuse clinic understands that the majority of people who abuse alcohol die from:

A) cirrhosis.
B) alcoholic hepatitis.
C) hepatic encephalopathy.
D) smoking-related diseases.

Answer 1

smoking-related diseases.

Question 2

When assessing a patient in the withdrawal stage of substance abuse, the nurse will most likely observe:

A) an increased sensitivity to stress.
B) positive emotions.
C) balancing desire for drug with the will to abstain.
D) consideration of possibility of relapse.

Answer 2

an increased sensitivity to stress.

Question 3

Which statement by a patient indicates that the nurse's teaching about drug tolerance has been ineffective?

A) "If I stop the drug suddenly, withdrawal will occur."
B) "Drug tolerance means that I will need more drug to feel good."
C) "I take this drug because it makes me feel good."
D) "Drug tolerance develops after using the drug for the first time."

Answer 3

"Drug tolerance develops after using the drug for the first time."

Question 4

The nurse in the health center on a college campus is talking to freshman students about the consequences of drinking alcohol. The nurse defines a standard drink as:

A) 12 ounces of regular beer.
B) 6 ounces of malt liquor.
C) 4 ounces of table wine.
D) 3 ounce shot of whiskey.

Question 5

The nurse in the health center on a college campus is talking to freshman students about the consequences of drinking alcohol. Which statement by a freshman student indicates that the nurse's teaching has been effective?

A) "To reduce absorption, I should take alcohol on an empty stomach."
B) "Drinking water speeds up the absorption of alcohol."
C) "Drinking a carbonated beverage speeds up absorption of alcohol."
D) "Alcohol must be digested before it can be absorbed."

Question 6

The nurse in the health center on a college campus is talking to freshman students about the consequences of drinking alcohol. What response should the nurse make when a student asks how metabolism of alcohol can be increased?

A) "Drinking coffee will speed up the metabolism of alcohol."
B) "Exercise will speed up the metabolism of alcohol."
C) "Eating a meal will speed up the metabolism of alcohol."
D) "The metabolic rate of alcohol is stable and cannot be increased."

Question 7

The emergency department nurse is caring for a patient with a blood alcohol concentration (BAC) of 0.20. At this BAC, the nurse should be alert for:

A) respiratory arrest.
B) euphoria.
C) nausea and vomiting.
D) coma.

Question 8

A patient with chronic alcohol abuse tells the nurse that he is experiencing numbness and tingling of the hands and feet. After alerting the physician, which action would the nurse anticipate implementing?

A) Administering thiamine (vitamin B₁)
B) Administering chlordiazepoxide
C) Administering glucagon
D) Administering hydration

Question 9

Which of the following patient statements indicates that teaching about the effects of smokeless tobacco has been effective?

A) "Smokeless tobacco and other compounds in tobacco are not absorbed from my mouth."
B) "Smokeless tobacco is perfectly safe for me to use."
C) "Smokeless tobacco can cause tooth disease."
D) "Smokeless tobacco does not increase the risk of developing cancers."

Question 10

When assessing a patient who smoked a synthetic cannabinoid, the nurse should be alert for which potential prolonged adverse effects?

A) Distorted perception and difficulty thinking and problem solving
B) Bradycardia, sedation, and hallucinations
C) Tachycardia, agitation, sedation, and psychosis
D) Poor eye contact, paranoia, and anxiety

Question 11

A patient brought to the emergency department by ambulance reports that he has been smoking Cannabis heavily over the last few hours. An assessment reveals conjunctival injection, increased appetite, dry mouth, and tachycardia. The nurse determines that the patient is most likely experiencing:

A) Cannabis intoxication.
B) Cannabis withdrawal.
C) Cannabis use disorder.
D) Cannabis tolerance.

Question 12

A patient with metastatic breast cancer has been prescribed Cannabis for medical use. Which patient statement indicates that more teaching is required?

A) "Cannabis will help reduce my nausea."
B) "Cannabis promotes weight loss."
C) "Cannabis will reduce my pain."
D) "Cannabis will relieve inflammation."

Question 13

The nurse in the employee health clinic is performing urine drug screenings on employees. In answer to an employee's question about how long cocaine is detectable in the urine, the nurse responds:

A) for 1-3 days.
B) for 3-5 days.
C) up to 8 days.
D) up to 13 days.

Question 14

The emergency department nurse is most likely to assess which findings in a patient who has used cocaine within the last three hours?

A) Drowsiness and sedation
B) Bradycardia and hypotension
C) Chest pain and palpitations
D) Muscular hypotonia

Question 15

Which statement by a patient at a substance abuse clinic indicates that more teaching is needed about the use of replacement or substitute medication for treating substance abuse disorders?

A) "The substitute drug will have effects similar to those of the abused drug."
B) "The substitute drug will have a lower potential for abuse."
C) "The substitute drug exchanges one addicting drug for another."
D) "The substitute drug will allow me to take advantage of behavioral treatments."

Question 16

Which of the following drug characteristics should the emergency department nurse keep in mind when caring for a patient who has recently orally ingested lysergic acid diethylamide (LSD)?

A) Onset of action 30-90 minutes
B) Peak effect 1-2 hours
C) Duration of action 2-3 hours
D) Flashbacks in 4-6 hours

Question 17

The nurse in the health center on a college campus is talking to freshman students about the dangers of opioid use. Which response by a student indicates that more teaching is needed?

A) "Opioid use disorder is associated with using other people's opioid prescriptions."
B) "Opioid use disorder is associated with using illegally obtained heroin."
C) "Opioid use for pain control can lead to addiction unless monitored by a doctor."
D) "Opioids are always safe to use if they are prescribed by a doctor."

Question 18

Which manifestation would the nurse expect to find in a patient with chronic opioid use?

A) Track marks along a vein
B) Deviated septum
C) Hepatitis A
D) Respiratory depression

Question 19

The nurse suspects that a patient brought to the emergency department by ambulance has suffered an opioid overdose. What is the priority action by the nurse?

A) Call the physician.
B) Administer naloxone.
C) Obtain an order for naloxone.
D) Assess the patient and get a history from the family.

Question 20

According to the Centers for Disease Control and Prevention (CDC), which of the following measures to control pain should the nurse question when caring for a patient in pain?

A) Review chronic opioid use every 6 months.
B) Start with the lowest effective opioid dose.
C) Try nonpharmacological measures to control pain.
D) Begin with nonopioid therapy.