Substance Use

Question 1

When a nurse at a community clinic is checking a patient for the effects of psychoactive substances, he or she looks for which of the following signs?
a. altered mood
b. both a and c
c. levels of consciousness
d. none of the above

Answer 1

b. both a and c

Question 2

A student nurse studying substance use learns that in addition to stimulants, inhalants, depressants, and cannabis, psychoactive substances include which of the following?
a. dissociative anesthetics
b. both a and c
c. hallucinogens
d. non-narcotics

Answer 2

b. both a and c

Question 3

A public health nurse (PHN) researching risk factors for mortality found that ____ and ____ are among the top ten.
a. alcohol and tobacco
b. inhalants and stimulants
c. cannabis and caffeine
d. none of the above

Answer 3

a. alcohol and tobacco

Question 4

To find out how much alcohol a patient uses, a nurse asks about which of the following?
a. quantity of alcohol consumed
b. frequency of alcoholic beverage consumption
c. duration of use
d. all of the above

Answer 4

d. all of the above

Question 5

A nurse whose teenage patient is showing signs of alcohol abuse reviews which of the following first to help the patient?
a. Universal level of prevention
b. Selective level of prevention
c. Indicated level of prevention
d. none of the above

Answer 5

c. indicated level prevention

Question 6

A nurse studying substance use disorders learns that alcohol is a causal factor in ____ types of diseases and injuries.
a. 60
b. 80
c. 20
d. 10

Answer 6

a. 60

Question 7

Nurses at a local trauma center were involved in evaluating their hospital’s screening program for alcohol substance abuse. Which of the following steps were part of their plan?
a. Review files on patients admitted with a possible alcohol-related injury.
b. evaluate the current screening system in use on their unit
c. review current screening techniques used in other hospitals
d. all of the above

Answer 7

d. all of the above

Question 8

Nurses in a student health clinic used a program called Brief Alcohol Screening and Intervention for College Students (BASICS) to help students make better alcohol use decisions. The BASICS program consists of:
a. two one-hour interviews
b. both a and c
c. a feedback profile
d. an alcohol breathalyzer test

Answer 8

b. both a and c

Question 9

When a community health nurse explains the consequences of tobacco use to a patient who smokes, the nurse mentions which of the following adverse health consequences experienced by tobacco users?
a. damage to the oral cavity and teeth
b. chronic obstructive pulmonary disorders
c. cancer
d. all of the above

Answer 9

d. all of the above

Question 10

A nurse working on a maternity unit became concerned when one of the pregnant patients admitted to smoking. Which of the following adverse effects might eventually affect her unborn child?
a. low birth weight
b. increased risk factors for sudden infant death syndrome
c. both a and b
d. lower rates of asthma

Answer 10

c. both a and b

Question 11

A nurse treating a new patient learns that he was a smoker. Which of the following questions will help determine if he still smokes and how much he smokes?
a. do you now use tobacco
b. have you ever used tobacco
c. are you interested in quitting tobacco use
d. all of the above

Answer 11

d. all of the above

Question 12

A nurse researching illicit drug use for a new job at a community clinic learns that the number one illicit drug in the United States as of 2010 is:
a. cocaine
b. hallucinogens
c. marijuana
d. inhalants

Answer 12

c. marijuana

Question 13

A 20-year-old man brought to the emergency room with hallucinations appeared euphoric, tremulous, and anorexic and had dilated pupils. The nurse who examined him found that the culprit was ____ use.
a. methamphetamine
b. cocaine
c. alcohol
d. none of the above

Answer 13

a. methamohetamine

Question 14

A nurse suspects one of the emergency room patients is an illicit drug user. Which screening methods should the nurse use to verify this conclusion?
a. a clinican’s guide
b. both a and c
c. national institute on drug abuse assist tool
d. diagnostic and statistical manual of mental disorder

Answer 14

b. both a and c

Question 15

A PHN preparing a report on substance abuse would find that which of the following are true?
a. Substance use, especially use of tobacco and alcohol, is a serious public health issue, and policy initiatives exist at the global, national, state, and local levels aimed at reducing the harm associated with at-risk substance use.
b. both a and c
c. The cultural context for substance use has shifted overtime, but stigma continues to be a barrier for entrance into treatment for the person with at-risk use or a substance use disorder.
d. At-risk substance use does not affect the overall health of the individual, the family, or the community.

Answer 15

b. both a and c

Question 16

A team of nurses for a medical surgical unit have been assigned to develop a Screening and Brief Intervention (SBI) alcohol program for their department. Which of the following steps should they take?
a. Review current alcohol SBI recommendations from the Joint Commission on Accreditation.
b. Develop a plan to train health-personnel on the use of the alcohol SBI.
c. both a and d
d. Choose not to prepare an evaluation plan.

Answer 16

c. both a and b

Question 17

During a class lecture, a nursing student learned that which of the following are considered psychoactive substances?
a. depressants
b. stimulants
c. both a and b
d. antidepressants

Answer 17

c. both a and b

Question 18

A PHN follows which of these guiding principles on harm reduction when helping patients who are substance users?
a. Clients are responsive to culturally competent, non-judgmental services delivered in a manner that demonstrates respect for individual dignity, personal strength, and self-determination.
b. Service providers are responsible to the wider community for delivering interventions which attempt to reduce the economic, social, and physical consequences of drug- and alcohol-related harm and harms associated with other behaviors or practices that put individuals at risk.
c. Because those engaged in unsafe health practices are often difficult to reach through traditional service venues, the service continuum must seek creative opportunities and develop new strategies to engage, motivate, and intervene with potential clients.
d. all of the above

Answer 18

d. all of the above

Question 19

To help smoking patients improve their health, a nurse uses which of the following smoking cessation strategies?
a. advise all tobacco users to quit
b. assist tobacco users with a quit plan
c. both a and b
d. none of the above

Answer 19

c. both a and b

Question 20

A nurse working in the emergency department is treating a substance use disorder patient with accelerated heart rate and blood pressure. The nurse determines that which of the following substances is the culprit?
a. stimulants
b. narcotics
c. depressants
d. hallucinogens

Answer 20

a. stimulants