A person who injects heroin to experience the euphoria it causes is demonstrating
D.
The effects of long-term addictive substances on the brain lead to
C.
A major public health problem related to the behaviors of substance abuse is the prevalence of
D.
The nurse would suspect cocaine overdose in the patient who is experiencing
D.
The most appropriate nursing intervention for a patient who is seen at the clinic for increasing shortness of breath but who is not interested in quitting smoking is to
D.
While caring for a patient who is experiencing alcohol withdrawal the nurse should
D.
A patient who is dependent on intravenous barbiturates is scheduled for surgery following an automobile accident. The nurse recognizes that this patient
D.
When caring for a patient following surgery for a fractured femur who is dependent on opioids, the nurse should
D.
During motivational interviewing with a patient, the nurse should
D.
Substance abuse problems in older adults are most commonly related to
D.
Absence of a substance will cause withdrawal symptoms.
Physical dependence
Responses occurring after abrupt cessation of a substance.
Withdrawal
Return to drug use after a period of abstinence.
Relapse
Drug use for purposes other than intended.
Misuse
Compulsive need to experience pleasure.
Psychologic dependence
Overuse and dependence on substance that negatively affects functioning.
Abuse
Refraining from substance use.
Abstinence
Decreased effect of substance following repeated exposure.
Tolerance
Overwhelming desire for substance after decreased use.
Craving
Removal of the drug and its effects from the body.
Detoxification
Compulsive use of substances for physical and psychologic effects.
Addiction
The neurotransmitter that appears to have a dominant effect on the process of addiction is
B.
A patient is admitted to the emergency department with chest pain and cardiac dysrhythmias related to cocaine use. The patient's wife tells the nurse she did not suspect a problem because her husband generally functioned normally, even though she now realizes he was using cocaine. The nurse explains to the wife that when addiction occurs, tolerance causes the individual to
D.
In working with culturally diverse populations, the nurse recognizes that health problems related to addiction include high rates of
C.
A patient who is a heavy caffeine user has been NPO all day in preparation for a late afternoon surgery. The nurse monitors the patient for
A.
When a nurse is encouraging a woman who smokes 1.5 packs of cigarettes a day to quit with the use of nicotine replacement therapy, the woman asks how the nicotine in a patch or gum differs from the nicotine she gets from cigarettes. The nurse explains that nicotine replacement
B.
A patient tells the nurse that she used to take diazepam (Valium) 5 mg twice a day when she became nervous but recently has been taking 10 mg of the drug several times a day to keep herself calm. The nurse identifies that he pattern of abuse in this patient is most likely that of
C.
The best approach by the nurse to assess a newly admitted patient's use of addictive drugs is to ask the patient,
D.
Four Characteristics of signs of withdrawal
1.
2.
3.
4.
1. Gross tremors
2. Seizures
3. Hallucinations
4. Alcohol withdrawal delirium
A patient who abuses a variety of depressants and opioids minimizes the amount and frequency of substances used, as well as the specific agents taken, and tells the nurse that a recent overdose episode was a result of experimentation. An appropriate diagnosis for the patient is
D.
To stop the behavior that leads to the most preventable cause of death in the United States, the nurse should support programs that
C.
A young woman is brought to the emergency department by police who found her lying on a downtown sidewalk. Initial assessment finds that she is unresponsive; has a weak pulse of 112; shallow respirations of 8/min; and cold, clammy skin. Identify the two drugs that would most likely be given immediately to this patient, and explain why.
1.
2.
1. Naloxone (Narcan) is given in case opioids are the cause of the CNS depression.
2. Flumazenil (Romazicon) is given in case benzodiazepines are the cause of the central nervous system (CNS) depression.
A patient with a history of alcohol abuse is admitted to the hospital following an automobile accident. To plan care for the patient, it is most important for the nurse to assess
C.
A patient in alcohol withdrawal has a nursing diagnosis of ineffective protection related to sensorimotor deficits, seizure activity, and confusion. An appropriate nursing interevention for the patient is to
C.
What are four precations indicated for the alcoholic patient who is alcohol intoxicated and is undergoing emergency surgery?
1.
2.
3.
4.
1. Anesthesia requirements may be decreased as a result of cross-tolereance.
2. IV alcohol may be used to avoid acute withdrawal delirium triggered by surgery and the cessation of alcohol consumption.
3. Postoperative care will require close monitoring for signs of withdrawal and respiratory and cardiac problems.
4. Increased pain medications may be needed postoperatively if the patient is cross-tolerant to opiates
During admission to the emergency department, a patient with chronic alcoholism is intoxicated and very disoriented and confused. Which of the following ordered drugs will the nurse administer first?
D.
The nurse uses motivational interviewing with a patient who is dependent on alcohol and hospitalized for gastritis. When the patient ssays she does not think her use of alcohol is a problem because she can control her drinking when she wants to do so, it would be appropriate for the nurse to
D.
When assessing an older patient for substance abuse, the nurse specifically asks the patient about the use of alcohol and
A.
Alkaloid in tobacco that causes dependence and it is the most rapidly addicting of the drugs of abuse.
Nicotine
Most potent of the abused stimulants.
Cocaine
Poor man's cocaine.
Amphetamines
Most widely used psychoactive substance in the world.
Caffeine
Wernicke's encephalopathy
Thiamine deficiency
Korsakoff's psychosis
Loss of short term memory; inability to learn
Leading cause of preventable illness and death in the U.S.
