Chapter 37: Drug Abuse I: Basic Considerations

Chapter 37: Drug Abuse I: Basic Considerations

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. A nurse is teaching a substance abuse class to a group of nursing students. Which of the following statements made by one of the nursing students best demonstrates understanding?

a.	“An example of a patient at risk for substance abuse would be a patient who is post-operative from an amputation and asking for pain medication before it is time to have another dose.”
b.	“An example of a patient at risk for substance abuse would be a patient with bone cancer who has been taking large doses of opiates.”
c.	“An example of a patient at risk for substance abuse would be a teenager experimenting with marijuana.”
d.	“An example of a patient at risk for substance abuse would be a patient consistently taking prescription analgesics for minor aches and pains.”

 

 

ANS:   D

The patient taking prescription analgesics for minor aches and pains is at risk for substance abuse, because prescription analgesics should not be used for minor pain.

A patient who has just had an amputation would experience significant pain and should be treated for such pain without fear of addiction.

Bone cancer can be very painful and requires large doses of pain medications.

Experimentation with marijuana does not suggest abuse, but the risk can increase, although not to the same degree as for the patient overusing prescription analgesics for minor aliments.

 

DIF:    Cognitive Level: Analysis                  REF:    p. 403

TOP:    Nursing Process: Evaluation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential

 

2. A patient with a current history of drug abuse is admitted to the unit. The next morning the patient begins to display abstinence syndrome. The nurse anticipates signs and symptoms consistent with which of the following conditions?

a.	Toxicity
b.	Psychologic dependence
c.	Physical dependence
d.	Drug tolerance

 

 

ANS:   C

Physical dependence results in abstinence syndrome.

A patient with toxicity would not display the signs and symptoms of abstinence syndrome.

Psychologic dependence is a subjective need for drugs and does not result in abstinence syndrome.

Drug tolerance simply means that the patient needs more of the drug to produce the desired effect; it does not relate to abstinence syndrome.

 

DIF:    Cognitive Level: Application             REF:    p. 404

TOP:    Nursing Process: Assessment

MSC:   NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential

 

3. A nurse is providing community education about medications and the drug schedules established by the U.S. Drug Enforcement Administration (DEA). Which statement made by a member of the class best demonstrates an understanding of DEA schedules?

a.	“Schedule I drugs have the lowest potential for abuse.”
b.	“Schedule II drugs have no approved indications.”
c.	“Schedule V drugs have the highest potential for abuse.”
d.	“Schedule I drugs are not approved for any medical use.”

 

 

ANS:   D

Schedule I drugs are not approved for any medical use.

Schedule I drugs have the highest potential for abuse.

Schedule II drugs have several approved indications.

Schedule V drugs have the lowest potential for abuse.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 407

TOP:    Nursing Process: Evaluation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies