Chapter 17: Substance Abuse

Chapter 17: Substance Abuse

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A 38-year-old male patient stopped smoking 6 months ago. He tells the nurse that he still feels strong cigarette cravings and wonders if he is ever going to feel “normal” again. Which statement by the nurse is correct?

a.	“It’s possible that these cravings will never stop.”
b.	“These cravings may persist for several months.”
c.	“The cravings tell us that you are still using nicotine.”
d.	“The cravings show that you are about to experience nicotine withdrawal.”

 

 

ANS:  B

Cigarette cravings may persist for months after nicotine withdrawal. The other statements are false.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 285

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. A patient in a rehabilitation center is beginning to experience opioid withdrawal symptoms. The nurse expects to administer which drug as part of the treatment?

a.	Diazepam (Valium)
b.	Methadone
c.	Disulfiram (Antabuse)
d.	Bupropion (Zyban)

 

 

ANS:  B

Opioid withdrawal can be managed with either methadone or clonidine (Catapres). Diazepam and disulfiram are used for treatment of alcoholism, and bupropion is used to assist with smoking cessation.

 

DIF:    COGNITIVE LEVEL: Remembering (Knowledge)           REF:   p. 279

TOP:   NURSING PROCESS: Planning

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. A patient has been taking naltrexone (ReVia) as part of the treatment for addiction to heroin. The nurse expects that the naltrexone will have which therapeutic effect for this patient?

a.	Naltrexone prevents the cravings for opioid drugs.
b.	Naltrexone works as a safer substitute for the heroin until the patient completes withdrawal.
c.	The patient will experience flushing, sweating, and severe nausea if he takes heroin while on naltrexone.
d.	If opioid drugs are used while taking naltrexone, euphoria is not produced; thus, the opioid’s desired effects are lost.

 

 

ANS:  D

Naltrexone works to eliminate the euphoria that occurs with opioid drug use; therefore, the reinforcing effect of the drug is lost.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 279

TOP:   NURSING PROCESS: Evaluation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. The nurse is presenting a substance-abuse lecture for teenage girls and is asked about “roofies.” The nurse recognizes that this is the slang term for which substance?

a.	Cocaine
b.	Flunitrazepam
c.	Secobarbital
d.	Methamphetamine

 

 

ANS:  B

Flunitrazepam is a benzodiazepine that has recently gained popularity as a recreational drug and is commonly called roofies (the “date-rape” drug). The other drugs are not known as roofies.

 

DIF:    COGNITIVE LEVEL: Remembering (Knowledge)           REF:   p. 281

TOP:   NURSING PROCESS: Implementation

MSC:   NCLEX: Physiological Integrity: Reduction of Risk Potential