Question 1

A person tells the nurse, 'I seem to need one more drink each night after work, just to unwind.' Which condition is this person describing?

Accepted Answer

The person is describing tolerance, which is the need to consume more of a substance to achieve the same effect as before.

Question 2

Which is a manifestation of gamma-hydroxybutyrate (GHB)withdrawal?

Accepted Answer

Paranoia is a known manifestation of gamma-hydroxybutyrate (GHB) withdrawal. Withdrawal symptoms from GHB can include anxiety, insomnia, tremors, and increased heart rate, among others, with paranoia being a psychological symptom associated with the withdrawal process.

Question 3

Which manifestation is associated with cocaine withdrawal?

Accepted Answer

Vivid dreams are a common manifestation of cocaine withdrawal, along with anxiety, depression, fatigue, and increased appetite. Constricted pupils and excessive lacrimation are associated with opioid withdrawal, while numbness of the extremities is not typically a manifestation of cocaine or any other substance withdrawal.

Question 4

A person withdrawing from a drug is experiencing hallucinations. Which nursing diagnosis is appropriate for this person?

Accepted Answer

Hallucinations are a manifestation of disturbed thought processes. Deficient knowledge, imbalanced nutrition, and low self-esteem do not match the presented symptom.

Question 5

A 76-year-old man who used to run a bar and restaurant comes into the clinic with progressive numbness and tingling of all four extremities. For which health problem should this person be evaluated?

Accepted Answer

The symptoms of progressive numbness and tingling of all four extremities are indicative of peripheral neuropathy, which can be caused by thiamine deficiency resulting from chronic alcohol use. Korsakoff's psychosis is a neurological disorder that can occur in people with chronic alcoholism who have thiamine deficiency. Therefore, this person should be evaluated for Korsakoff's psychosis. Psychological dependence, co-occurring disorders, and tolerance are important aspects of addiction care, but they are not directly related to the symptoms described in this scenario.

Question 6

A person has been diagnosed with alcoholism that is causing him to be depressed. What does this diagnosis indicate?

Accepted Answer

A dual disorder refers to a situation where a person is dealing with both a substance use disorder, in this case alcoholism, and a mental health disorder, in this case depression. It is important to treat both disorders simultaneously for the best chance of recovery.

Question 7

The nurse unit manager has been alerted to an unusually high number of 'wasted' narcotics in the ward area. Which action should the manager take in response to this finding?

Accepted Answer

The unusually high number of 'wasted' narcotics could indicate a potential issue with substance abuse among staff. Closer observation and investigation are necessary to ensure patient safety and address any possible misconduct.

Question 8

The nurse learns that there are multiple ways for organic solvents to gain entry into the body. They are which of the following? (Select all that apply.)

Accepted Answer

The answer of The nurse learns that there are multiple...

Question 9

The family of a person with a crystal methamphetamine addiction is concerned because the person is excessively fatigued, sleeping, and has a voracious appetite. How should the nurse respond to these concerns?

Accepted Answer

The symptoms described are typical withdrawal symptoms from crystal methamphetamine addiction. Methamphetamine is a stimulant drug, and withdrawal can cause extreme fatigue and increased appetite. It is important for the nurse to educate the family about these symptoms and reassure them that they are expected as part of the recovery process. Option B is not appropriate because caffeine can exacerbate symptoms of anxiety and agitation, which may already be present during withdrawal. Option C is not necessary unless the person is at risk for further medical complications. Option D is not recommended because preventing the person from eating can lead to malnutrition and other health problems.

Question 10

A person recalls 'feeling funny' after taking a few sips of a drink at a night club and later remembers that she was raped. Which drug should the nurse suspect this person had been given?

Accepted Answer

The answer of A person recalls 'feeling funny' after taking...

Question 11

Which assessment finding is associated with a ketamine overdose?

Accepted Answer

Seizures are a common finding in ketamine overdose. Other possible symptoms include altered mental status, respiratory depression, and muscle rigidity. Dilated pupils and raised blood pressure may also be present, while numbness is not typically associated with ketamine overdose.

Question 12

A person sitting in an air-conditioned waiting room is experiencing excessive lacrimation, rhinorrhoea, yawning and diaphoresis. The nurse should suspect this person is experiencing withdrawal from which substance?

Accepted Answer

The symptoms listed point to opioid withdrawal, which are commonly seen with heroin use. Yawning, sweating, excessive tearing, and rhinorrhea are all common symptoms of opioid withdrawal. Ketamine and diazepam do not typically cause these symptoms, and while marijuana use can cause withdrawal, the symptoms listed would not typically be present.

Question 13

The nurse is interviewing a person who denies having a long-standing history of alcohol and drug use. Which action should the nurse take to gain information and direct care?

Accepted Answer

Utilising the MAST questionnaire (Michigan Alcohol Screening Test) can provide a non-confrontational way to assess a person's alcohol use without making assumptions or accusations. It can help the nurse to gain information and direct care appropriately. This can be used even if the person denies having a history of alcohol and drug use.

Question 14

Which manifestation may be assessed in a person experiencing opioid withdrawal?

Accepted Answer

The answer of Which manifestation may be assessed in a...

Question 15

A person who was sexually abused as a child tells the nurse, 'I just like to try different drugs recreationally.' Which phrase of the following is most likely correct about this person? The person:

Accepted Answer

Individuals who have experienced childhood sexual abuse may struggle with low self-esteem and difficulty expressing emotions, both of which could contribute to a desire to use drugs recreationally as a coping mechanism. While mental illness or an addictive personality could also be factors, the information provided in the question suggests that D is the most likely answer.

Question 16

Which is an adverse effect of marijuana use?

Accepted Answer

Marijuana use can cause anxiety, especially in high doses or for those who are sensitive to its effects.

Question 17

A 35-year-old person with a history of barbiturate abuse tells the nurse that she 'likes to have a few drinks with friends.' This person is at risk of which condition?

Accepted Answer

Cross-tolerance occurs when tolerance to the effects of a certain drug results in a tolerance to another drug, often within the same class or with similar mechanisms of action. Barbiturates and alcohol both depress the central nervous system, so abuse of one can lead to a reduced response to the other, increasing the risk of overdose and other adverse effects.

Question 18

The spouse of a newly admitted person warns the nurse about the person's' behaviour because of recent heavy alcohol intake. For which health problem should the nurse plan care?

Accepted Answer

Substance-induced disorders occur when someone experiences significant behavioral or psychological changes due to substance use. In this situation, the spouse is warning the nurse about the person's recent heavy alcohol intake, which could lead to substance-induced disorders. Therefore, the nurse should plan care for substance-induced disorder.

Question 19

A person tells the nurse that a newly prescribed medication will cause symptoms of physical illness if taken with alcohol. Which medication should the nurse realise this person has been prescribed?

Accepted Answer

Disulfiram (Antabuse) is a medication that is commonly used in the treatment of alcohol dependence. It works by inhibiting the breakdown of alcohol in the body, leading to an accumulation of an acetaldehyde, a toxic substance that causes unpleasant physical symptoms such as nausea, vomiting, flushing, and rapid heartbeat. Therefore, consuming alcohol while on disulfiram can be dangerous and lead to significant physical illness. Thus, the person's statement regarding the medication causing symptoms of physical illness if taken with alcohol points towards disulfiram (Antabuse).

Question 20

A pregnant woman smokes to avoid weight gain. How should the nurse instruct this person about smoking during pregnancy?

Accepted Answer

The answer of A pregnant woman smokes to avoid weight...

Quiz 5: Nursing Care of People With Problems of Substance Misuse