Chapter 29 Substance Abuse

Chapter 29   Substance Abuse

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) The population health nurse is completing a history on a client who has been referred to a substance abuse clinic. Which client statements indicate a problem with abuse of a psychoactive substance? (Select all that apply.)

1. “I do not have a job.”
2. “I cannot get along with people at work.”
3. “I have never had a positive drug test.”
4. “I am not married.”
5. “I have been arrested several times in the last two months.”

Answer:  2, 5

Explanation:  2. General indicators that a person has a problem with abuse of a psychoactive substance include frequent intoxication, preoccupation with obtaining and using the substance, binge use, change in personality or mood, withdrawal, problems with family members related to use of the substance, problems with friends or neighbors, problems on the job, and conflicts with law enforcement officials. The best answers include the response that the client cannot get along with people at work and that he has had conflict with law enforcement officials. Unemployment, negative drug testing, and not marrying are not indicators that a person has a problem with abuse of psychoactive substances.

5. General indicators that a person has a problem with abuse of a psychoactive substance include frequent intoxication, preoccupation with obtaining and using the substance, binge use, change in personality or mood, withdrawal, problems with family members related to use of the substance, problems with friends or neighbors, problems on the job, and conflicts with law enforcement officials. The best answers include the response that the client cannot get along with people at work and that he has had conflict with law enforcement officials. Unemployment, negative drug testing, and not marrying are not indicators that a person has a problem with abuse of psychoactive substances.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Psychosocial Integrity

Cognitive Level:  Analysis

Learning Outcome:  29-1

2) The population health nurse suspects that a client has psychoactive substance dependence. Which assessment made the nurse most suspicious?

1. Decreased tolerance to the substance.
2. Lack of the characteristic withdrawal symptoms.
3. Decreased substance use to decrease withdrawal symptoms.
4. Increased time spent recovering from the effects.

Answer:  4

Explanation:  4. Diagnosis of psychoactive substance dependence is based on increased tolerance to the substance, experience of characteristic withdrawal symptoms, increased substance use to decrease withdrawal symptoms, and increased time spent recovering from the effects.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Physiological Integrity

Cognitive Level:  Analysis

Learning Outcome:  29-2

3) The community is conducting a series of forums about alcoholism. What information should the forums include?

1. Alcohol use is the tenth leading cause of death in the United States.
2. Ten percent of high school students engage in periodic heavy drinking.
3. Almost 1% of the United States population reports binge drinking.
4. Alcohol use contributes to 2.5 million deaths worldwide.

Answer:  4

Explanation:  4. Alcohol use is the third leading cause of death in the United States, and contributes to 2.5 million deaths worldwide. Data from the Behavioral Risk Factor Surveillance System in 2009 indicted that nearly 42% of high school students reported current alcohol use. Almost a fourth of the population (23%) reported binge drinking.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Psychosocial Integrity

Cognitive Level:  Application

Learning Outcome:  29-3

4) The population health nurse is teaching a class about substance abuse. A portion of the class discusses the desirable initial effects of some of the substances. Which substances should be cited as producing a euphoric initial effect? (Select all that apply.)

1. Phencyclidine (PCP).
2. Cocaine.
3. Nicotine.
4. Amphetamines.
5. Inhalants.

Answer:  2, 4, 5

Explanation:  2. PCP causes heightened sensitivity to stimuli, mood elevation, a sense of omnipotence, and relaxation. Cocaine produces euphoria, a sense of competence, increased energy, and clarity of thought. Nicotine produces feelings of well-being, increases mental acuity and ability to concentrate, and heightens one’s sense of purpose. Amphetamines produce feelings of euphoria, energy, confidence, increased ability to concentrate, and improved physical performance. Inhalants usually produce a sense of euphoria, loss of inhibition, and excitement.

4. PCP causes heightened sensitivity to stimuli, mood elevation, a sense of omnipotence, and relaxation. Cocaine produces euphoria, a sense of competence, increased energy, and clarity of thought. Nicotine produces feelings of well-being, increases mental acuity and ability to concentrate, and heightens one’s sense of purpose. Amphetamines produce feelings of euphoria, energy, confidence, increased ability to concentrate, and improved physical performance. Inhalants usually produce a sense of euphoria, loss of inhibition, and excitement.
5. PCP causes heightened sensitivity to stimuli, mood elevation, a sense of omnipotence, and relaxation. Cocaine produces euphoria, a sense of competence, increased energy, and clarity of thought. Nicotine produces feelings of well-being, increases mental acuity and ability to concentrate, and heightens one’s sense of purpose. Amphetamines produce feelings of euphoria, energy, confidence, increased ability to concentrate, and improved physical performance. Inhalants usually produce a sense of euphoria, loss of inhibition, and excitement.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Physiological Integrity

Cognitive Level:  Application

Learning Outcome:  29-3