Chap. 11 - review questions Flashcards
The concept of substance abuse implies that the individual is
A - Having withdrawal and tolerance symptoms when not using
B - Having psychoactive effects when using
C - In denial about the impact of use on their life
D - Having functional problems related to frequent or excessive use
D - Having functional problems related to frequent or excessive use
DSM - IV criteria for substance abuse states that there is recurrent use despite persistent social/interpersonal problems, legal problems, and failure to fulfill major role obligations
To diagnose a person with substance dependence, you must determine the current or past presence of which of the following clinical findings during your assessment of the client?
A - Addictive manipulative behaviors
B - Denial and projection
C - Tolerance and withdrawal signs and symptoms
D - Mental illness
C - Tolerance and withdrawal signs and symptoms
Tolerance and/or withdrawal are possible criteria for substance dependence. The other answers are not diagnostic criteria
Many abused substances have questionable withdrawal symptoms. Whether or not a person dependent on a particular substance will have withdrawal symptoms depends on
A - The biochemistry of the person
B - The nature of the substance
C - The biochemistry of the agent and the person
D - Neither the person nor the agent but a combination of the two factors
B - The nature of the substance
Substance withdrawal is the development of a substance specific syndrome
John is dependent on Falvoxaz (Fabs), a new synthetic substance. John comes to the ER after a car accident and admits to frequent, regular use of Fabs. Because this is a new drug, you are not familiar with potential withdrawal symptoms. The best assessment question to ask to determine the nature of possible withdrawal symptoms is
A - How do you feel when you take Fabs?
B - What is the chemical name for Fabs?
C - How many Fabs do you take in a week?
D - How long have you been using Fabs?
A - How do you feel when you take Fabs?
Knowing the action of the drug allows the PMHNP to infer that withdrawal symptoms will be the opposite of the effects of the agent
Medical detox from a substance is required only when the substance is know to produce
A - Physical withdrawal symptoms
B - Psychological withdrawal symptoms
C - Both physical and psychological withdrawal symptoms
C - Uncomfortable and unwanted withdrawal symptoms
A - Physical withdrawal symptoms
Physical withdrawal symptoms are the priority because they can lead to autonomic instability, seizures, and death in some instances
