Chapter 26

Test

Which of the following approaches has research suggested is the most effective way to approach drug addiction?

Harm reduction

A woman has just delivered a baby and is lamenting that the baby’s father is not with her. She shares with you that he became involved with drugs and is now in prison for theft. The new mother says, “It’s so sad. He’s clearly no good.” Which of the following would be the best response by the nurse while demonstrating empathy?

“Is there anyone to help you with the baby until the baby’s father can be released and encouraged to get treatment for his addiction?”

A man who takes a prescribed narcotic for pain on a regular basis report that he does not like the way the medicine makes him feel. He has tried to change to an alternate analgesic but experienced withdrawal symptoms when he stopped taking the narcotic. Which of the following problems is the man experiencing?

Drug dependence

A school health nurse is asked by a parent group to explain risk factors for alcoholism. Which of the following information should the nurse include?

Alcoholism is determined partly by genetic factors.

A movie shows a woman and a man having a contest to see who can drink more shots of whiskey. Who is more likely to “win” the drinking contest when and one is unable to continue drinking?

The man will likely win because of an inborn tendency to greater alcohol tolerance.

Students at first-day orientation at the local community college are discussing alcohol and drug abuse with their freshmen advisor. During a break, some students go outside for soft drinks and snacks. Soon after, the advisor walks by and notices several of these students smoking cigarettes. Based on this, which of the following topics of the drug and alcohol orientation would be most important for the advisor to reemphasize after the break?

The fact that tobacco smoking causes more premature deaths than any other behavior

A nurse sees the father of a newborn baby push his wife in a wheelchair out onto the patio. The man and woman each smoke a cigarette while the baby sleeps in the mother’s arms. Which of the following information should the nurse share with the parents?

The sidestream smoke that the baby is exposed to is more dangerous than the mainstream smoke that the parents are inhaling themselves.

Which of the following addictive drugs is both legal and culturally acceptable throughout almost all of the United States?

Caffeine

A school nurse stops a student in the hall and expresses concern that, “Your eyes look rather red and dry.” The student yawns and denies eye problems but does mention having gained 15 pounds since smoking “special cigarettes.” Which of the following is the student most likely smoking?

Marijuana

Which of the following is an accurate concern about the marijuana?

Paranoia is a known side effect of marijuana use.

Which client may be able to safely detoxify and manage their withdrawal symptoms with only minimal medical supervision?

The 30-year-old reporting a “weekend cocaine habit”

Research as shown that vaping increases an individual’s risk of contracting what disease five-fold?

COVID-19

Three female clients were brought to the emergency department by ambulance after a two-car accident at a busy intersection. Which of the following tests should automatically be done under such circumstances?

Alcohol blood level

An I9 drug abuser admits to the nurse he has no desire to stop using drugs, so rather than lecture the individual on the dangers of drug addiction, the nurse provides information how to sterilize his needles. Which of the following prevention efforts is the nurse attempting to achieve?

Tertiary prevention to reduce the transmission of blood-borne diseases

In which of the following scenarios is a family member enabling an individual to continue to abuse alcohol?

The wife tells her husband’s boss that her husband is sick when he is actually inebriated.

Which of the following statements accurately describes why methadone is used to treat heroin addiction?

Methadone blocks the effects of heroin and reduces the craving.

A client requests help to stop smoking. Which of the following methods would be the best for the nurse to suggest to the client?

A combination of interventions, beginning with changing the environment

A nurse is reviewing with a client the importance of the diabetic diet to maintaining control of blood glucose levels. The client states, “I went to the classes and learned how to count carbohydrates. I have even started to write down what I eat for each meal.” Which of the following would be most appropriate response from the nurse?

“That is great. You’ve started to take action and make changes.”

At a county board meeting, a nurse reports statistics related to the increasing problem of substance abuse in the county. The nurse then requests funding for an after-school recreation program that promotes age-appropriate fun activities and sports. Which of the following objectives is the nurse attempting to meet through this action?

Promote healthy lifestyles with physical activity.

A school health nurse is conducting drug screening to detect drug use by students before serious problems develop. Which of the following levels of prevention does this action represent?

Secondary prevention

A mother is concerned that her daughter may be considering experimentation with drugs and alcohol. Which of the following strategies would the nurse suggest the mother implement? (Select all that apply.)

Provide opportunities for her daughter to develop her talents.

Provide realistic feedback to the daughter about her performance at school.

Encourage her daughter to become involved in extracurricular activities.
Encourage her to discuss her dreams for the future.

A nurse is helping a client’s family prepare to have an intervention that hopefully will encourage the alcoholic father to realize the need for change. Which of the following instructions by the nurse to the client’s family members would be most effective? (Select all that apply.)

“Express your belief in him and his ability to change.”

 “Point out that his behavior is his choice and his responsibility.”

“Let him know that he is loved by his family and friends.”

A nurse is developing a community-based activity aimed at preventing substance abuse in the community. Which of the following interventions would the nurse most likely implement? (Select all that apply.)

Supporting an increase in the availability of recreational facilities
Educating all middle school students about the long-term side effects of drugs and alcohol

Providing general screenings for substance abuse

Identifying community-based resources that deal with substance abuse issues

A home health client has been prescribed acetaminophen with codeine every 4 hours for pain following a hip arthroplasty. Which of the following statements made by a nurse to the client’s primary health care provider indicates a need for further education on narcotics related to the goals of safe pain management? (Select all that apply.)

“Please consider decreasing the time interval between doses to every 3 hours so that my client will maintain pain relief.”

“I’m really concerned my client will become addicted to the codeine.”
“My client needs a prescription for P5N medication for μbreakthrough’ pain.”