Chapter 06: Substance Use Assessment

Chapter 06: Substance Use Assessment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A woman has come to the clinic to seek help with a substance abuse problem. She admits to using cocaine just before arriving. Which of these assessment findings would the nurse expect to find when examining this woman?

a.	Dilated pupils, pacing, and psychomotor agitation
b.	Dilated pupils, unsteady gait, and aggressiveness
c.	Pupil constriction, lethargy, apathy, and dysphoria
d.	Constricted pupils, euphoria, and decreased temperature

 

 

ANS:  A

A cocaine user’s appearance includes pupillary dilation, tachycardia or bradycardia, elevated or lowered blood pressure, sweating, chills, nausea, vomiting, and weight loss. The person’s behavior includes euphoria, talkativeness, hypervigilance, pacing, psychomotor agitation, impaired social or occupational functioning, fighting, grandiosity, and visual or tactile hallucinations.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 99

MSC:  Client Needs: Physiologic Integrity: Physiologic Adaptation

 

2. The nurse is assessing a patient who has been admitted for cirrhosis of the liver, secondary to chronic alcohol use. During the physical assessment, the nurse looks for cardiac problems that are associated with chronic use of alcohol, such as:

a.	Hypertension.
b.	Ventricular fibrillation.
c.	Bradycardia.
d.	Mitral valve prolapse.

 

 

ANS:  A

Even moderate drinking leads to hypertension and cardiomyopathy, with an increase in left ventricular mass, dilation of ventricles, and wall thinning. Ventricular fibrillation, bradycardia, and mitral valve prolapse are not associated with chronic heavy use of alcohol.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 89

MSC:  Client Needs: Physiologic Integrity: Physiologic Adaptation

 

3. The nurse is conducting a class on alcohol and the effects of alcohol on the body. How many standard drinks (each containing 14 grams of alcohol) per day in men are associated with increased deaths from cirrhosis, cancers of the mouth, esophagus, and injuries?

a.	2
b.	4
c.	6
d.	8

 

 

ANS:  B

In men, alcohol consumption of at least four standard drinks per day is associated with increased deaths from liver cirrhosis, cancers of the mouth, esophagus and other areas, and deaths from injuries and other external causes.

 

DIF:    Cognitive Level: Understanding (Comprehension)             REF:   pp. 89-90

MSC:  Client Needs: Physiologic Integrity: Reduction of Risk Potential

 

4. During a session on substance abuse, the nurse is reviewing statistics with the class. For persons aged 12 years and older, which illicit substance was most commonly used?

a.	Crack cocaine
b.	Heroin
c.	Marijuana
d.	Hallucinogens

 

 

ANS:  C

In persons age 12 years and older who reported using during the past month, marijuana (hashish) was the most commonly used illicit drug reported.

 

DIF:    Cognitive Level: Remembering (Knowledge)                    REF:   p. 90

MSC:  Client Needs: Physiologic Integrity: Physiologic Adaptation

 

5. A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit. She asks the nurse, “How many drinks a day is safe for my baby?” The nurse’s best response is:

a.	“You should limit your drinking to once or twice a week.”
b.	“It’s okay to have up to two glasses of wine a day.”
c.	“As long as you avoid getting drunk, you should be safe.”
d.	“No amount of alcohol has been determined to be safe during pregnancy.”

 

 

ANS:  D

No amount of alcohol has been determined to be safe for pregnant women. The potential adverse effects of alcohol use on the fetus are well known; women who are pregnant should be screened for alcohol use, and abstinence should be recommended.

 

DIF:    Cognitive Level: Analyzing (Analysis)                              REF:   p. 92

MSC:  Client Needs: Safe and Effective Care Environment: Safety and Infection Control