Chapter 24: Alcohol, Tobacco, and Other Drug Problems in the Community

Foundations of Nursing in the Community 4e by Marcia Stanhope

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Chapter 24: Alcohol, Tobacco, and Other Drug Problems in the Community

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Which of the following approaches has research suggested is the most effective way to approach drug addiction?
a. Criminal justice system
b. Harm reduction
c. Punishment approach
d. Substance abuse education

 

 

ANS:  B

The harm reduction model is a health care approach that recognizes addiction as a health problem and focuses on pragmatic interventions, especially education, to reduce the adverse consequences of drug use and treatment for addicts.

 

DIF:    Cognitive Level: Understand (Comprehension)                  REF:   p. 434

 

  1. A woman has just delivered a baby and is lamenting that the baby’s father is not with her. She shares with you that he became involved with drugs and is now in prison for theft. The new mother says, “It’s so sad. He’s clearly no good.” Which of the following would be the best response by the nurse?
a. “I’m so sorry to hear that. Is your mother able to be with you?”
b. “It’s good that you and the baby are safe from him.”
c. “Is there anyone to help you with the baby until the baby’s father can be released and encouraged to get treatment for his addiction?”
d. “You must hate him for leaving you alone with a new baby!”

 

 

ANS:  C

The nurse must express concern and empathy and hold out hope for future improvement. To be therapeutic, the nurse must realize that any drug can be abused, that anyone may develop drug dependence, and that drug addiction can be successfully treated.

 

DIF:    Cognitive Level: Analyze (Analysis)                                 REF:   p. 435

 

  1. A man who takes a prescribed narcotic for pain on a regular basis reports that he does not like the way the medicine makes him feel. He has tried to change to an alternate analgesic but experienced withdrawal symptoms when he stopped taking the narcotic. Which of the following problems is the man experiencing?
a. Drug abuse
b. Drug addiction
c. Drug dependence
d. Substance abuse

 

 

ANS:  C

Drug dependence is a state of neuroadaptation (a physiological change in the central nervous system) and alterations in other systems caused by the long-term, regular administration of a drug. People who are dependent on drugs must continue using them to prevent withdrawal symptoms. Drug addiction is a pattern of abuse characterized by an overwhelming preoccupation with the compulsive use of a drug and securing its supply and a high tendency to relapse if the drug is removed. Substance abuse does not apply in this case, because the man is taking a prescribed medication for a legitimate purpose. The term drug abuse is no longer meaningful.

 

DIF:    Cognitive Level: Apply (Application)                               REF:   p. 435

 

  1. A school health nurse is asked by a parent group to explain risk factors for alcoholism. Which of the following information should the nurse include?
a. Alcoholism is determined primarily by the family environment.
b. Alcoholism is determined partly by genetic factors.
c. Persons who are alcoholics are usually women.
d. Persons born with fetal alcohol syndrome are alcoholics from birth.

 

 

ANS:  B

Research has shown conclusively that familial transmission of alcoholism is at least in part genetic and not just the result of family environment.

 

DIF:    Cognitive Level: Apply (Application)                               REF:   p. 436

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