Chapter 40: Drug Abuse IV: Major Drugs of Abuse Other Than Alcohol and Nicotine

Chapter 40: Drug Abuse IV: Major Drugs of Abuse Other Than Alcohol and Nicotine

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A nurse is teaching a drug prevention class to a group of parents of adolescents. Which statement by a parent indicates understanding of the teaching?

ANS:  C

Although tolerance to LSD develops rapidly, there is no abstinence syndrome with abrupt withdrawal of the drug, and tolerance fades rapidly. Many adverse behavioral, subjective, and long-term effects are associated with chronic use of marijuana. MDMA [Ecstasy] can cause irreversible damage to serotonergic neurons. Most people who go on to abuse opioids begin their drug use illicitly; only an exceedingly small percentage of those exposed to opioids therapeutically go on to abuse these drugs.

PTS:   1                    DIF:    Cognitive Level: Analysis                REF:   pp. 438-440 | p. 441 | p. 443

TOP:   Nursing Process: Implementation

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

2. A provider orders clonidine [Catapres] for a patient withdrawing from opioids. When explaining the rationale for this drug choice, the nurse will tell this patient that clonidine [Catapres] is used to:

ANS:  C

When administered to an individual physically dependent on opioids, clonidine can suppress some symptoms of abstinence. Clonidine is most effective against symptoms related to autonomic hyperactivity, including nausea, vomiting, and diarrhea. Clonidine does not stimulate autonomic activity; it is effective against symptoms of autonomic hyperactivity. Clonidine does not reduce somnolence and drowsiness. Clonidine does not prevent opioid craving.

PTS:   1                    DIF:    Cognitive Level: Application           REF:   p. 434

TOP:   Nursing Process: Implementation

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

3. What is the primary reason for opioid abuse?

ANS:  D

The primary reason for opioid abuse is the prolonged sense of euphoria that occurs after the initial rush. Healthcare professionals have easy access to opioids, which makes them more vulnerable to abuse of these drugs, but this is not the primary reason for abuse in the greater population. The initial rush lasts about 45 seconds and is not the primary reason for opioid abuse. Peer pressure is not the primary reason for opioid abuse.

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   p. 431

TOP:   Nursing Process: Assessment

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

4. A nurse is discussing the differences between OxyContin OC and OxyContin OP with a group of nursing students. Which statement by a student indicates understanding of the teaching?

ANS:  C

OxyContin OP is a newer formulation that is designed to reduce OxyContin abuse. The OP formulation is much harder to crush into a powder. The OC preparation can be crushed and dissolved in water or alcohol and can easily be drawn into a syringe. The OP preparation does not dissolve easily in these solutions. Despite the differences in preparation, there is no indication that either form is less subject to abuse or overdose.

PTS:   1                    DIF:    Cognitive Level: Analysis                REF:   pp. 431-432

TOP:   Nursing Process: Planning

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