CHAPTER 33: SUBSTANCE ABUSE

CHAPTER 33: SUBSTANCE ABUSE

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When explaining the methadone maintenance approach to managing the heroin-dependent client, the nurse explains to the client’s family that:

a.	by stopping heroin use, the client will not engage in criminal activity to support a heroin habit.
b.	methadone maintenance will prevent withdrawal symptoms, allowing the client minimal discomfort when heroin use is stopped.
c.	the methadone maintenance will allow the client to slowly taper off the heroine over a period of months and then the client will have a lifestyle closer to normal.
d.	methadone is used because it is not addicting.

 

 

ANS:  B

 

	Feedback
A	Incorrect: This statement assumes that the heroine is the only reason for criminal behavior.
B	Correct: The is the primary premise for using the methadone maintenance.
C	Incorrect: This is not the rationale for the methadone maintenance.
D	Incorrect: Methadone is an opiate and can cause physical and emotional dependence.

 

 

PTS:   1                    REF:   p. 747            OBJ:   Cognitive Level: Comprehension

 

2. If the client is receiving a reduced effect from the use of alcohol over time, she has developed:

a.	psychological dependence.	c.	physical dependence.
b.	alcohol intoxication.	d.	tolerance.

 

 

ANS:  D

 

	Feedback
A	Incorrect: This is not the appropriate concept.
B	Incorrect: This is not the appropriate concept.
C	Incorrect: This is not the appropriate concept.
D	Correct: This client has developed tolerance, which means an increasing amount of alcohol is required to achieve the desired effect.

 

 

PTS:   1                    REF:   p. 744            OBJ:   Cognitive Level: Comprehension

 

3. The nurse understands that what level of alcohol in the blood generally produces impairment of judgment, speech, motor coordination, and reaction time in the nontolerant person?

a.	10-30 mg/dL	c.	50-150 mg/dL
b.	30-50 mg/dL	d.	150-200 mg/dL

 

 

ANS:  C

 

	Feedback
A	Incorrect: This level produces slight muscle relaxation.
B	Incorrect: This level produces a state of relaxation and mood elevation.
C	Correct: This level impairs judgement, speech, motor coordination, and reaction time.
D	Incorrect: This level produces intoxication.

 

 

PTS:   1                    REF:   p. 750            OBJ:   Cognitive Level: Comprehension

 

4. The client has a history of repeated use of marijuana. He tells the nurse that he feels better when using the substance than when not using it. The nurse understands this as:

a.	habituation.	c.	addiction.
b.	substance dependence.	d.	tolerance.

 

 

ANS:  A

 

	Feedback
A	Correct: This characterizes habituation.
B	Incorrect: This is characterized by a client’s inability to function without the substance.
C	Incorrect: This term implies the client’s loss of control over use of a chemical substance.
D	Incorrect: This term means that more and more of the substance is needed to achieve the same results.

 

 

PTS:   1                    REF:   p. 744            OBJ:   Cognitive Level: Comprehension

 

5. Physical dependence:

a.	is the improper use of drugs or other chemical substances.
b.	usually results from prolonged use of a substance.
c.	implies that a client has difficulty functioning unless under the influence of a drug.
d.	describes a client’s strong compulsion to obtain and use a substance or drug.

 

 

ANS:  B

 

	Feedback
A	Incorrect: This is not characteristic of the term.
B	Correct: Physical dependence usually results from long-term use of a substance.
C	Incorrect: This defines substance dependence.
D	Incorrect: This describes psychological dependence.

 

 

PTS:   1                    REF:   p. 744            OBJ:   Cognitive Level: Knowledge