Chapter 18: Substance Misuse

Question 1

A 38-year-old male has been using the “cold turkey” approach to stop smoking. Although he
hasn’t smoked for 6 months, he tells the nurse that he still feels strong cigarette cravings and
wonders whether he will ever get over the cravings. Which statement is true?
a. The cravings will never stop.
b. The cravings may persist for months to years.
c. The cravings indicate that he has been using nicotine.
d. The cravings indicate that he is about to experience nicotine withdrawal.

Answer 1

b. The cravings may persist for months to years.

Question 2

A patient in a rehabilitation centre is beginning to experience opioid withdrawal symptoms.
What would you expect to be ordered for this patient’s treatment?
a. diazepam (Valium®)
b. methadone hydrochloride
c. disulfiram (Antabuse®) protocol
d. Antidepressant therapy

Answer 2

b. methadone hydrochloride

Question 3

If an individual drinks alcohol while on disulfiram (Antabuse) therapy, which will most likely
occur?
a. Euphoria
b. Vomiting
c. Hypertension
d. Hypoventilation

Answer 3

b. Vomiting

Question 4

A patient has been taking naltrexone (ReVia®) as part of the treatment for addiction to heroin.
Which statement is true in this case?
a. Naltrexone will prevent the patient’s cravings for opioid drugs.
b. Naltrexone will work as a safer substitute for the heroin until the patient complete withdrawal.
c. The patient will experience hypertension and severe nausea if the patient takes
heroin while on naltrexone.
d. If opioid drugs are used while taking naltrexone, euphoria is not produced; thus,
the drug’s effects are lost.

Answer 4

d. If opioid drugs are used while taking naltrexone, euphoria is not produced; thus,
the drug’s effects are lost.

Question 5

During a substance abuse lecture for teenage girls, the nurse is asked about “roofies.” This
slang term refers to what substance?
a. Cocaine
b. flunitrazepam
c. hydromorphone
d. Methamphetamine

Answer 5

b. flunitrazepam

Question 6

A 29-year-old male is admitted to the Critical Care Unit with the following symptoms:
restlessness, hyperactive reflexes, talkativeness, confusion, dry mouth, and excessive
sweating. The nurse suspects that he may be experiencing the effects of taking which
substance?
a. Opiates
b. Alcohol
c. Stimulants
d. Depressants

Answer 6

c. Stimulants

Question 7

Chronic use of alcohol may result in which condition?

a. Renal failure
b. Stroke
c. Korsakoff’s psychosis
d. Alzheimer’s disease

Answer 7

c. Korsakoff’s psychosis

Question 8

A patient is being treated for ethanol abuse.
What should the nurse tell this patient about disulfiram (Antabuse) therapy?
a. Do not smoke cigarettes while on this drug.
b. Several common over-the-counter (OTC) substances contain alcohol.
c. This drug will cause the same effects as the alcohol did but without the euphoric
effects.
d. Any type of mouthwash or cough medicine can be used because they contain
alcohol only in small amounts.

Answer 8

b. Several common over-the-counter (OTC) substances contain alcohol.

Question 9

Which is the main substance of misuse among older adults?

a. Cigarettes
b. Alcohol
c. OTC medications
d. Prescription medications

Answer 9

b. Alcohol

Question 10

Which statement is true in regard to drugs used in cigarette smoking cessation programs?
a. Slow chewing of nicotine gum releases an immediate dose of nicotine.
b. Acute relief from withdrawal symptoms is most easily achieved with the use of the
transdermal patch.
c. Patient adherence is higher with transdermal patches than with nicotine gum.
d. Nicotine gum can be used only up to six times a day.

Answer 10

c. Patient adherence is higher with transdermal patches than with nicotine gum.

Question 11

During a party, a guest who is on disulfiram (Antabuse) therapy drinks half a glass of wine.
The party guest will quickly experience which symptoms? (Select all that apply.)
a. Euphoria
b. Vomiting
c. Diarrhea
d. Pallor
e. Flushed skin
f. Sweating
g. Hypoventilation

Answer 11

b. Vomiting
e. Flushed skin
f. Sweating