Chapter 07: Drugs of Abuse

Chapter 07: Drugs of Abuse

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is teaching a group in the community about drug abuse. Which statement by the nurse is correct?

a.	“Cue-induced cravings eventually disappear after long periods of abstinence by the person addicted to drugs.”
b.	“Substance abuse and addiction are synonymous terms, describing dependence on drugs.”
c.	“Substance use disorder occurs when recurrent use causes clinically and functionally significant impairment.”
d.	“Substance use disorder occurs when physical dependence is present.”

 

 

ANS:   C

Drug addiction occurs when emotional and mental dependence on a drug is present. Although physical dependence may often occur, it is not always present. Cue-induced cravings may diminish after long abstinence but do not disappear completely. Drug abuse may occur without addiction.

 

DIF:    Cognitive Level: Understanding (Comprehension)               REF:    p. 60

TOP:    Nursing Process: Nursing Intervention: Patient Teaching

MSC:   NCLEX: Psychosocial Integrity: Dependency

 

2. The nurse is caring for a patient who is being treated for chronic alcohol intoxication. The nurse notes that the patient’s serum alcohol level is 0.40 mg%. The patient is awake and talkative even though this is a potentially lethal dose. The nurse recognizes this as alcohol

a.	substance use disorder.
b.	dependence.
c.	misuse.
d.	tolerance.

 

 

ANS:   D

Intoxication is a state of being influenced by a drug or other substance and may be a very small amount in the drug-naïve person or a potentially lethal amount in the chronic user. This person has developed tolerance to alcohol and is able to have a potentially lethal amount without severe effects. Addiction describes continued involvement in an activity despite the substantial harm it causes. Dependence describes physical need for the drug such that when the drug is stopped, withdrawal symptoms occur. Misuse refers to using a drug or substance to excess.

 

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 60

TOP:    Nursing Process: Assessment

MSC:   NCLEX: Psychosocial Integrity: Dependency

 

3. What does the nurse understand must occur in order to produce withdrawal syndrome?

a.	Intoxication
b.	Craving
c.	Drug tolerance
d.	Physical dependence

 

 

ANS:   D

Patients who develop a physical dependence on a drug will experience withdrawal syndrome when the drug is stopped. Intoxication is a condition that results in disturbances in the level of consciousness, cognition, perception, judgment, behavior, and other psycho-physiologic functions. Cravings can occur without physical dependence. Tolerance refers to a decrease in drug effects with repeated use.

 

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 60

TOP:    Nursing Process: N/A

MSC:   NCLEX: Psychosocial Integrity: Dependency

 

4. The nurse is counseling a patient who wants to stop smoking. Which statement by the nurse is correct?

a.	“Bupropion (Zyban) is effective and does not have serious adverse effects.”
b.	“Nicotine replacement therapies are effective and eliminate the need for behavioral therapy.”
c.	“Varenicline (Chantix) may be used short-term for 1 to 2 months.”
d.	“You may experience headaches, irritability, and increased appetite for several months after stopping smoking.

 

 

ANS:   D

Headaches and increased appetite are common during nicotine withdrawal and may last for several months. Bupropion is effective but has many serious effects. Nicotine replacement therapy does not eliminate the need for behavioral therapy. Varenicline is used for at least 4 months.

 

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 71

TOP:    Nursing Process: Nursing Intervention: Patient Teaching

MSC:   NCLEX: Psychosocial Integrity: Dependency