Chapter 25: Substance Use Disorders
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- 1.
As of 2011, what is the federal governments priority in addressing substance abuse?
- A.
Treatment of substance abuse
- B.
Prevention of substance abuse
- C.
Law enforcement to reduce supply of available drugs
- D.
Research about how to successfully decrease the use of drugs
Correct Answer
C. Law enforcement to reduce supply of available drugsExplanation
The federal government's priority in addressing substance abuse as of 2011 is to focus on law enforcement to reduce the supply of available drugs. This means that the government is placing emphasis on cracking down on drug trafficking and distribution, as well as implementing stricter regulations and penalties to deter drug suppliers. By targeting the supply side of the issue, the government aims to limit the availability of drugs, making it more difficult for individuals to obtain and abuse them.Rate this question:
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- 2.
Who is the primary focus of community efforts in relation to substance abuse?
- A.
Elderly persons
- B.
Children and adolescents
- C.
Middle-aged persons, especially women
- D.
Young adults
Correct Answer
B. Children and adolescentsExplanation
The primary focus of community efforts in relation to substance abuse is children and adolescents. This is because this age group is particularly vulnerable to the negative effects of substance abuse, and early intervention and prevention efforts can have a significant impact on their future well-being. By targeting children and adolescents, communities can work towards reducing substance abuse rates and promoting healthier lifestyles among the younger generation.Rate this question:
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- 3.
How is substance abuse defined?
- A.
Evidence of tolerance and symptoms if use of the substance is decreased
- B.
Experiencing loss of control over use of the substance
- C.
Using substances with recurrent and significant adverse consequences
- D.
Using substances to feel good or avoid feeling bad
Correct Answer
C. Using substances with recurrent and significant adverse consequencesExplanation
Substance abuse is defined as the use of substances with recurrent and significant adverse consequences. This means that individuals who engage in substance abuse continue to use drugs or alcohol despite experiencing negative effects on their physical health, mental well-being, relationships, and overall functioning. These adverse consequences can include physical illness, impaired judgment, legal problems, financial difficulties, and interpersonal conflicts. Substance abusers may prioritize substance use over other important aspects of their lives and may struggle to control or reduce their use despite negative consequences.Rate this question:
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- 4.
Which of the following clients demonstrates the characteristics of addiction?
- A.
A client who uses substances despite serving jail time for previous use
- B.
A client who demonstrates evidence of tolerance and symptoms if substance is decreased
- C.
A client who reports experiencing loss of control when using substances
- D.
A client who uses substances to feel good or at least avoid feeling bad
Correct Answer
A. A client who uses substances despite serving jail time for previous useExplanation
The client who uses substances despite serving jail time for previous use demonstrates the characteristics of addiction. This behavior indicates a lack of control and an inability to stop using substances despite negative consequences. It suggests that the client's substance use has become compulsive and is interfering with their ability to make rational decisions.Rate this question:
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- 5.
Which of the following is an example of a host factor in addiction?
- A.
Community norms
- B.
Economic deprivation
- C.
Free drinks at parties
- D.
Genetic predisposition
Correct Answer
D. Genetic predispositionExplanation
Genetic predisposition refers to the inherited characteristics or traits that can increase an individual's susceptibility to developing an addiction. It means that certain individuals may have a genetic makeup that makes them more vulnerable to becoming addicted to substances or engaging in addictive behaviors. This host factor plays a significant role in addiction as it influences the way the brain responds to drugs or rewards, making some individuals more prone to addiction than others.Rate this question:
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- 6.
Which of the following is an example of an environmental factor in addiction?
- A.
Cultural expectations around celebrations
- B.
Ethnic group endowment
- C.
Genetic predisposition
- D.
Psychological trauma early in life
Correct Answer
A. Cultural expectations around celebrationsExplanation
Cultural expectations around celebrations can be considered an environmental factor in addiction because it refers to the social and cultural norms and beliefs surrounding substance use during festive occasions. These expectations can influence an individual's attitudes and behaviors towards substance use, potentially leading to addiction.Rate this question:
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- 7.
A 15-year-old high school junior girl drank alcohol constantly. Which of the following would be a personal host factor?
- A.
Her own alienation and rebelliousness
- B.
High expectations for success from family and friends
- C.
Inconsistent or absent parental discipline, supervision, and support
- D.
Parents who are against the consumption of liquor
Correct Answer
A. Her own alienation and rebelliousnessExplanation
Her own alienation and rebelliousness can be considered a personal host factor because it is a characteristic of the individual herself that may contribute to her constant alcohol consumption. Alienation and rebelliousness can lead to feelings of isolation and a desire to engage in risky behaviors, such as drinking alcohol, as a form of self-expression or coping mechanism. These personal traits can influence her choices and behaviors, making her more susceptible to engaging in excessive alcohol consumption.Rate this question:
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- 8.
Which of the following statements is the best description of the gateway theory of drug use?
- A.
Adolescents begin experimenting with alcohol and progress to marijuana use.
- B.
Addiction is a disease of the brain
- C.
Adolescents begin with occasional use, and it gradually becomes a regular occurrence.
- D.
Addiction occurs before conscious awareness.
Correct Answer
A. Adolescents begin experimenting with alcohol and progress to marijuana use.Explanation
The gateway theory of drug use suggests that adolescents often start experimenting with less harmful substances, such as alcohol, and then progress to using more potent drugs, such as marijuana. This theory proposes that initial exposure to one substance increases the likelihood of trying other substances, leading to a potential escalation in drug use.Rate this question:
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- 9.
A nurse states that a client is experiencing dependency. Which of the following reasons for drug use has the client probably reported?
- A.
To express independence from parents and authority figures
- B.
To experiment with new substances
- C.
To manipulate his or her own emotions
- D.
To feel normal
Correct Answer
D. To feel normalExplanation
The client is likely using drugs to feel normal. This suggests that the client may be using drugs as a way to cope with emotional or psychological issues and to achieve a sense of stability or balance.Rate this question:
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- 10.
Which aggregate is most at risk for alcohol and drug abuse?
- A.
Elderly persons (aged 65 and older)
- B.
Middle-aged persons (aged 20 to 64 years)
- C.
Teenagers (aged 12 to 17 years)
- D.
Young adults (aged 18 to 25 years)
Correct Answer
D. Young adults (aged 18 to 25 years)Explanation
Young adults (aged 18 to 25 years) are most at risk for alcohol and drug abuse because this age group often experiences significant life transitions, such as leaving home for college or starting a career, which can lead to increased stress and peer pressure. Additionally, young adults may have more freedom and access to alcohol and drugs, and they may be more likely to engage in risky behaviors due to a sense of invincibility or experimentation. This age group is also still developing emotionally and psychologically, making them more susceptible to substance abuse.Rate this question:
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- 11.
What is the relationship between tobacco use and educational level?
- A.
Those who attend college likely used tobacco as adolescents and will continue use.
- B.
The higher the persons educational level, the more likely that person is to be able to afford and use tobacco.
- C.
The higher the persons educational level, the less likely that person is to use tobacco.
- D.
There is no relationship between educational level and tobacco use.
Correct Answer
C. The higher the persons educational level, the less likely that person is to use tobacco.Explanation
The correct answer is that the higher a person's educational level, the less likely that person is to use tobacco. This is because individuals with higher levels of education tend to have better access to information about the health risks of tobacco use and are more likely to understand the negative consequences. Additionally, higher education is often associated with higher socioeconomic status, which can afford individuals the resources to make healthier lifestyle choices and avoid tobacco use.Rate this question:
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- 12.
What is the most commonly abused illicit (illegal) substance?
- A.
Cocaine
- B.
Methamphetamine
- C.
Heroin
- D.
Marijuana
Correct Answer
D. MarijuanaExplanation
Marijuana is the most commonly abused illicit substance because it is widely available, relatively affordable, and has a lower stigma compared to other drugs. Additionally, it is often perceived as less harmful and addictive than substances like cocaine, methamphetamine, and heroin. The increasing legalization and decriminalization of marijuana in some regions may also contribute to its widespread abuse.Rate this question:
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- 13.
Which of the following statements about persons experiencing a comorbidity is accurate?
- A.
Through careful questioning, it is possible to distinguish which problems are caused by which diagnosis.
- B.
Drug abuse may bring about symptoms of another mental illness.
- C.
The comorbid condition usually involves the diagnosis of a chronic disease and substance abuse.
- D.
Persons with diagnosed personality disorders have a lower incidence of substance use disorders.
Correct Answer
B. Drug abuse may bring about symptoms of another mental illness.Explanation
Drug abuse can lead to the development of symptoms of another mental illness. Substance abuse can cause changes in brain chemistry and functioning, which can result in the manifestation of symptoms similar to those seen in various mental illnesses. This is known as substance-induced mental illness or substance-induced psychiatric disorder. It is important to consider the possibility of substance abuse when evaluating individuals with mental health symptoms, as addressing the underlying substance abuse issue is crucial for effective treatment.Rate this question:
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- 14.
A 19-year-old college student was smoking a cigarette and drinking a cup of coffee. What effect would he expect these substances to have on how he is feeling?
- A.
Euphoria, with decreased fear and anxiety, and ready for a nap
- B.
Immunity from pain, anxiety, or fear, and ready for an intimate encounter
- C.
Ostracism because no one appreciates being very close to a smoker
- D.
Relaxation, alertness, and readiness to study for his examinations
Correct Answer
D. Relaxation, alertness, and readiness to study for his examinationsExplanation
The combination of smoking a cigarette and drinking coffee is commonly associated with increased alertness and concentration. Nicotine in cigarettes acts as a stimulant, increasing heart rate and blood pressure, while caffeine in coffee stimulates the central nervous system, promoting wakefulness and mental alertness. These effects can contribute to a feeling of relaxation and readiness to focus on studying for examinations.Rate this question:
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- 15.
Which of the following is a sign of drug use in the workplace?
- A.
Improved reactions
- B.
Irritability
- C.
Improved productivity
- D.
Nervousness
Correct Answer
B. IrritabilityExplanation
Irritability can be a sign of drug use in the workplace because certain drugs can cause mood swings and irritability as side effects. This change in behavior can affect the individual's interactions with colleagues and may lead to conflicts or strained relationships. It is important for employers to be aware of signs like irritability as it can indicate a potential drug problem and may require intervention or support for the employee.Rate this question:
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- 16.
Which of the following has been identified as one of the major treatment barriers for persons with a substance abuse disorder?
- A.
Fear
- B.
Availability
- C.
Stigma
- D.
Access
Correct Answer
C. StigmaExplanation
Stigma has been identified as one of the major treatment barriers for persons with a substance abuse disorder. Stigma refers to the negative attitudes, beliefs, and stereotypes that society holds towards individuals with substance abuse disorders. This stigma can lead to discrimination, social isolation, and shame, which can prevent individuals from seeking and accessing treatment. Stigma creates a barrier by making individuals feel judged and ashamed, causing them to avoid seeking help and support for their substance abuse disorder.Rate this question:
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- 17.
A mother defensively said, I consumed alcohol while I was pregnant with my baby, and except for being small, she is okay. What characteristics would the nurse expect the infant to exhibit when grown?
- A.
Hyperactivity
- B.
Suffering consequences of child abuse
- C.
Learning disabilities
- D.
Rapid mood changes
Correct Answer
C. Learning disabilitiesExplanation
The nurse would expect the infant to exhibit learning disabilities when grown. This is because consuming alcohol during pregnancy can lead to a condition called Fetal Alcohol Spectrum Disorder (FASD), which can result in a range of developmental issues, including learning disabilities.Rate this question:
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- 18.
A nurse is counseling the wife of a substance abuser, who states that she may be co-dependent. Which of the following behaviors would most likely be reported?
- A.
Limiting the harmful consequences of the users behavior
- B.
Helping the user obtain the substance needed
- C.
Establishing trust with the user in the family
- D.
Referring the user to a treatment program
Correct Answer
A. Limiting the harmful consequences of the users behaviorExplanation
The behavior that would most likely be reported in this situation is "Limiting the harmful consequences of the user's behavior." This suggests that the wife is taking actions to minimize the negative effects of her spouse's substance abuse. It shows that she is aware of the harmful consequences and is actively trying to mitigate them, which is a characteristic of co-dependency. This behavior may include enabling or covering up for the substance abuser, making excuses for their behavior, or trying to control their substance use.Rate this question:
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- 19.
What is one approach to coping that is used by many families who have a family member addicted to drugs or alcohol?
- A.
The family does not function but disintegrates.
- B.
The family functions around the ill person
- C.
The family reorganizes, excluding the ill person from the family.
- D.
The family tries desperately to function exactly as before.
Correct Answer
C. The family reorganizes, excluding the ill person from the family.Explanation
When a family member is addicted to drugs or alcohol, one approach to coping that is commonly used is for the family to reorganize and exclude the ill person from the family. This approach is often taken to protect the well-being and stability of the rest of the family members, as the addicted individual's behavior can be disruptive and harmful. By excluding the ill person, the family aims to create a healthier environment and establish boundaries to prevent enabling or further harm.Rate this question:
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- 20.
Which of the following interventions would a community/public health nurse implement as a primary strategy to prevent drug and alcohol abuse?
- A.
Referring alcoholic persons and their families into support groups
- B.
Providing coping skills and antidrug education to school-aged children
- C.
Refusing to consume alcohol when in public
- D.
Counseling children from families who have a history of alcoholism
Correct Answer
B. Providing coping skills and antidrug education to school-aged childrenExplanation
Providing coping skills and antidrug education to school-aged children is a primary strategy to prevent drug and alcohol abuse because it focuses on early intervention and education. By teaching children coping skills and providing education about the dangers and consequences of drug and alcohol abuse, they are better equipped to make informed decisions and resist peer pressure. This intervention targets a vulnerable population at a critical stage in their development, aiming to prevent substance abuse before it starts. Referring alcoholic persons and their families into support groups, refusing to consume alcohol when in public, and counseling children from families with a history of alcoholism are also important interventions, but they are secondary strategies that focus on individuals who are already affected by drug and alcohol abuse.Rate this question:
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- 21.
What is the easiest way for a nurse to screen for persons who have or are at risk for developing alcohol- or drug-related problems?
- A.
A laboratory test, which, although somewhat expensive, is very accurate
- B.
Having teachers watch for inappropriate, inebriated behaviors in the classroom
- C.
Paper-and-pencil tests concerning self-report of personal habits
- D.
Testing a hair sample, which is nonintrusive and relatively inexpensive
Correct Answer
C. Paper-and-pencil tests concerning self-report of personal habits -
- 22.
Which of the following clients demonstrates symptoms that would lead to a diagnosis of dependence?
- A.
Involvement in an auto accident in association with using substances while driving
- B.
Consumption of the substance on a regular basis, withdrawal symptoms when the substance is not used, and failure to successfully complete a treatment program
- C.
Inability to function appropriately and unsuccessful attempts to cut down or control use
- D.
Tolerance of the substance, presence of withdrawal symptoms, and continuation of use despite recurrent physical problems
Correct Answer
D. Tolerance of the substance, presence of withdrawal symptoms, and continuation of use despite recurrent pHysical problemsExplanation
The answer is the only option that includes all three criteria for a diagnosis of dependence: tolerance of the substance, presence of withdrawal symptoms, and continuation of use despite recurrent physical problems. This combination of symptoms indicates a strong reliance on the substance and an inability to control or stop its use, which are key indicators of dependence. The other options may demonstrate problematic substance use, but they do not include all three criteria necessary for a diagnosis of dependence.Rate this question:
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- 23.
What intervention is considered the most effective approach for getting an addict into treatment?
- A.
Arranging a planned confrontation from people with leverage
- B.
Taking the addict to the emergency department for a psychiatric admission
- C.
Calling the police and having the addict taken to jail
- D.
Waiting until the addict recognizes the need for treatment
Correct Answer
A. Arranging a planned confrontation from people with leverageExplanation
Arranging a planned confrontation from people with leverage is considered the most effective approach for getting an addict into treatment. This intervention involves gathering individuals who have influence or leverage over the addict, such as family members or close friends, and confronting the addict about their addiction in a planned and organized manner. The goal is to create a supportive and persuasive environment that encourages the addict to seek treatment. This approach can be effective in breaking through denial and resistance, as well as providing the necessary motivation for the addict to take the necessary steps towards recovery.Rate this question:
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- 24.
In addition to getting the alcoholic adult into treatment, what is the most useful intervention the nurse can implement with the family?
- A.
Clarifying that the family members must begin to meet their own needs
- B.
Helping the family adapt to daily life without the family member
- C.
Encouraging the family to limit contact with the family member while in treatment
- D.
Sharing information about support groups such as Al-Anon or Alateen
Correct Answer
D. Sharing information about support groups such as Al-Anon or AlateenExplanation
Sharing information about support groups such as Al-Anon or Alateen is the most useful intervention the nurse can implement with the family because these support groups are specifically designed to provide guidance, education, and support to family members of individuals struggling with alcoholism. By sharing information about these support groups, the nurse can help the family members gain a better understanding of the disease of alcoholism and learn coping strategies to deal with the challenges they may face. This intervention can also provide a sense of community and connection for the family members, as they can interact with others who are going through similar experiences.Rate this question:
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- 25.
In addition to fellowship, what do self-help groups such as Alcoholics Anonymous provide for the alcoholic?
- A.
Constructive, effective suggestions for living without the alcohol
- B.
Encouragement for a slow withdrawal from alcohol to prevent withdrawal symptoms and desperate action
- C.
Referrals to attorneys who are willing to assist with financial and legal problems without reimbursement
- D.
Referrals to mental health centers in which hospitalization is always an option
Correct Answer
A. Constructive, effective suggestions for living without the alcoholExplanation
Self-help groups such as Alcoholics Anonymous provide constructive, effective suggestions for living without alcohol. These groups offer support and guidance to individuals struggling with alcohol addiction, helping them to develop strategies and techniques to maintain sobriety. Through sharing personal experiences and offering advice, members of these groups provide valuable insights and practical tips for navigating the challenges of life without relying on alcohol. This support can be crucial in helping alcoholics to successfully overcome their addiction and build a healthier, alcohol-free lifestyle.Rate this question:
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- 26.
A man had been attending Alcoholics Anonymous (AA) meetings. Following an argument with his former wife over appropriate child care arrangements and need for financial support, he stopped by his favorite tavern. On the basis of what he had been taught at AA, what should he conclude?
- A.
He had made a horrible mistake and inpatient therapy was now his only option.
- B.
He needs to see a therapist to understand why, when he had been doing so well, he voluntarily entered that tavern.
- C.
He was a miserable failure doomed to be an alcoholic forever.
- D.
Relapses are common in early recovery; he should go back to AA and try again.
Correct Answer
D. Relapses are common in early recovery; he should go back to AA and try again.Explanation
The correct answer suggests that the man should go back to AA and try again because relapses are common in early recovery. This implies that the man's visit to the tavern was a relapse and not a "horrible mistake" or a sign of being a "miserable failure." The answer aligns with the understanding that setbacks are a normal part of the recovery process, and it encourages the man to continue seeking support and attending AA meetings.Rate this question:
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- 27.
A man was trying to avoid drinking. In addition to attending Alcoholics Anonymous meetings, what might his sponsor suggest he do?
- A.
Eat more, so his stomach would be too full for a drink.
- B.
Smoke whenever he felt the need for a drink.
- C.
Try to persuade his drinking buddies to join him in abstaining.
- D.
Walk home along a different route rather than his former route by the bar.
Correct Answer
D. Walk home along a different route rather than his former route by the bar.Explanation
The sponsor might suggest that the man walks home along a different route rather than his former route by the bar to avoid temptation and triggers that could lead to drinking. By changing his routine and avoiding the bar, he can create a physical barrier and distance himself from the environment associated with drinking, making it easier for him to stay sober.Rate this question:
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