QUIZ: SUBSTANCE ABUSE

Total points18/26
 
The respondent's email address was recorded on submission of this form.

 
Prolonged alcohol abuse can result in a severe deficiency in what vitamin? *
1/1
Folate
Thiamine (B1)
 
Niacin (B3)
Vitamin C

 
An effective communication technique with an addict would be: *
1/1
teach the patient about the physical impact of drugs and alcohol
 
provide group support at a local restaurant
confront the patient right away
tell the patient's parents so they can try to help

 
Personality traits associated with drug abuse include (select all) *
0/1
narcissistic behavior
 
introverted personality
 
established impulse control
low self-esteem
 
difficulty dealing with intimacy
 
 
Which people demonstrate risk factors for an addiction?(select all) *
a middle aged, recently divorced, who lost his business in a fire
 
a young mother on welfare
an abused 10 year old with poor body image
 
a recent college graduate with extensive student loans
 
Identify the antidote for each substance or manifestation of toxicity. *
opioid overdose
delirium tremens
reduction of cravings for alcohol
pseudoparkinsonism
Thiamine
Score
Wernicke-Korsakoff sydrome
1/1
 
Naltrexone
1/1
 
Naloxone
1/1
 
Librium
1/1
 
Cogentin
1/1
 
Wernicke-Korsakoff sydrome
Naltrexone
Naloxone
Librium
Cogentin

 
People who use opioids to treat pains sometimes get addicted after taking the meds
by mouth. They may alter the route of administration by:(select all) *
···/1
snorting
 
crushing in food
 
injecting
 
mixing with alcohol

 
Which of the following drugs are considered a central nervous system (CNS)
depressant? Select all that apply. *
0/1
barbiturate
 
cocaine
opiod
 
alcohol

 
Treatment interventions to assist the client with a current history of drug and alcohol
abuse and prevent relapse include: (select all) *
0/1
self-help group
individual therapy
lifestyle changes
 
Twelve step program
 
support from established friends
 
 
Which client statement indicates a knowledge deficit related to substance abuse? *
1/1
"Tolerance to heroin develops quickly."
Although it's legal, alcohol is one of the most widely abused drugs in our society."
"Flashbacks from LSD use may reoccur spontaneously."
"Marijuana is like smoking cigarettes. Everyone does it. It's essentially harmless."
 
 
A nurse evaluates a client's patient-controlled analgesia (PCA) pump and notices 100
attempts within a 30-minute period. Which is the best rationale for assessing this client
for substance dependence? *
1/1
Clients who are dependent on alcohol or benzodiazepines may have developed cross-tolerance
to analgesics and require increased doses to achieve effective pain control.
 
The client is experiencing symptoms of withdrawal and needs to be accurately assessed for
lorazepam (Ativan) dosage.
Narcotic pain medication is contraindicated for all clients with active substance-abuse problems.
There is no need to assess the client for substance dependence. There is an obvious PCA
malfunction.

 
A 25 year old woman with a history of drug abuse tells the nurse during care that she
does not communicate well with her family because they always tell her what she has
done wrong. The nurse understands that families of addicts can be? *
0/1
Overbearing
 
Judgemental
Dysfunctional
Option 2

 
Alcohol abuse-induced thiamine deficiency can cause which of the following? *
1/1
Wernicke-Korsakoff syndrome
 
Agnosia
Depression
antisocial beahvior

 
The following meds are given for opiate toxicity or narcotic withdrawal: *
1/1
heparin
narcan
 
disulfiram
methadone

 
The following people would benefit from attending al-anon meetings: (select all) *
0/1
husband of a addict who has been sober for 22 years.
 
sister of an addict who is actively using.
 
mother of an addict
 
grandson of a recovering addict

 
Traits that may be seen in an addict are (select all): *
impulsive
manipulative
anxious
 
depressed
 
 
A chronic alcoholic is admitted to the medical unit for pneumonia. Which medication
would the nurse expect the health-care provider to prescribe to prevent delirium
tremens? *
1/1
fluoxetine (Prozac)
Thiamine (vitamin B1)
disulfiram (antabuse)
chlordiazepoxide (Librium)
 
 
On the first day of a client's alcohol detoxification, which nursing intervention should
take priority? *
0/1
Strongly encourage the client to attend 90 Alcoholics Anonymous meetings in 90 days.
Administer ordered chlordiazepoxide (Librium) in a dosage according to protocol.
Administer vitamin B1 to prevent Wernicke-Korsakoff syndrome.
Educate the client about the biopsychosocial consequences of alcohol abuse.
 
Feedback
The priority nursing intervention for this client should be to administer ordered chlordiazepoxide
(Librium) in a dosage according to protocol. Chlordiazepoxide (Librium) is a benzodiazepine and is
often used for substitution therapy in alcohol withdrawal. Substitution therapy may be required to
reduce life-threatening effects of the rebound stimulation of the central nervous system that occurs
during withdrawal

 
A nurse is caring for a client who has been prescribed disulfiram (Antabuse) as a
deterrent to alcohol relapse. Which information should the nurse include when
teaching the client about this medication? *
1/1
"it is safe to drink beverages that have only 12% alcohol content"
"this medication will decrease your cravings for alcohol"
reactions to combining Antabuse with alcohol can occur 2 weeks after stopping the drug."
 
"only oral ingestion of alcohol will cause a reaction when taking this drug"

 
Which client response indicates the that the client is in denial of having an addiction to
marijuana and shows use of another defense mechanism? *
1/1
"I just want to have fun"
"Smoking weed keeps me sane"
"I only smoke when I'm stressed. It's not an everyday thing for me"
 
"I'm not the same when I smoke"

 
A factor used to make the differentiation between a social drinker and an alcoholic
would be *
1/1
degree of need
 
heredity
type of alcohol
race

 
Which of the following symptoms is most worrisome in a patient undergoing alcohol
withdrawal? *
1/1
Delirium tremens
 
Bradycardia
Tachycardia
Agitation

 
The nurse is completing and admission assessment for a client admitted with acute
alcohol intoxication. When asked to describe drinking pattern and amount, the client
states, "I only drink when I am under a lot of stress." The clients response indicates
what defense mechanism? *
1/1
rationalization
 
denial
regression
projection

 
Morphine, Codeine, and Methadone have a high potential for abuse or
physiological/psychological dependency. Which class of drugs do they belong in? *
1/1
stimulants
narcotics
 
antidotes
inhalants

 
What should be the priority nursing diagnosis for a client experiencing alcohol
withdrawal? *
0/1
Ineffective denial R/T continued alcohol use despite negative consequences
Risk for injury R/T central nervous system stimulation
Ineffective coping R/T powerlessness over alcohol use
 
Disturbed thought processes R/T tactile hallucinations
Feedback

The priority nursing diagnosis for a client experiencing alcohol withdrawal should be risk for injury
R/T central nervous system stimulation. Alcohol withdrawal may include the following symptoms:
course tremors of hands, tongue, or eyelids; seizures; nausea or vomiting; malaise or weakness;
tachycardia; sweating; elevated blood pressure; anxiety; depressed mood; hallucinations; headache;
and insomnia.
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