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

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

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Students at first-day orientation at the local community college are discussing alcohol and drug abuse with their freshmen advisor. During a break, some students go outside for soft drinks and snacks. Soon after, the advisor walks by and notices several of these students smoking cigarettes. Based on this, what topic of the drug and alcohol orientation would be most important for the advisor to reemphasize after the break?

ANS:   D

While all these options are worthy of discussion, the most relevant action in this case is making it clear to students that tobacco is a drug—and that smoking cigarettes accounts for one in five deaths in the United States. Smoking is the foremost preventable cause of death in the United States.

DIF:    Cognitive Level: Application             REF:    p. 445

2. Societies have several choices on how to approach drug addiction. Which approach has research suggested is the most effective?

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: Application             REF:    p. 445

3. 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.” What might be your response?

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: Application             REF:    p. 445

4. 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. What problem is the man experiencing?

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, since the man is taking a prescribed medication for a legitimate purpose. The term drug abuse is no longer meaningful.

DIF:    Cognitive Level: Application             REF:    p. 446