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Review Questions

1 .
What is a description of tolerance that shows a misunderstanding about substance use disorder?
  1. not having any bad side effects from periods of not using a substance
  2. needing to use more of a substance in order to reach a “high”
  3. no longer feeling the same sense of pleasure from the substance
  4. feeling better after using the substance again
2 .
Nurse Gina is caring for a twenty-three-year-old client who is being admitted to a behavioral health unit for treatment of her substance use disorder. Nurse Gina notes that lab values have not yet populated. When considering the age and gender of this client, what is a priority lab result needed before Nurse Gina can administer any medications?
  1. blood alcohol level (BAL)
  2. complete blood count (CBC)
  3. urine pregnancy test (HCG)
  4. urine drug screen (UDS)
3 .
A client makes an appointment to see their primary care provider (PCP) for sleep problems. What statement by the client regarding their sleep problems leads the PCP to suspect the client may have an alcohol use disorder?
  1. “Work has been really busy and I am working long hours. I am tired but can’t fall asleep.”
  2. “The only way I can fall asleep is to have three to four beers before going to bed.”
  3. “I have one-year-old twins who are not yet sleeping through the night.”
  4. “I work nights and have difficulty sleeping during the day.”
4 .
Alcohol withdrawal can be life-threatening. Nurses caring for a client who is detoxing from alcohol use must be able to identify what signs and symptoms of serious withdrawal?
  1. anxiety
  2. nausea and vomiting
  3. delirium tremens
  4. palpitations
5 .
A psychiatric-mental health nurse is giving a talk to college students about substance use disorder. Understanding that college students frequently use stimulants to help them study, the nurse makes sure to talk about what commonly prescribed medication?
  1. Benzedrine
  2. Ritalin
  3. MDMA
  4. Vicodin
6 .
Nurse Jorge is completing an assessment of withdrawal symptoms for one of his clients. This client has been using cocaine for the past six months and is now detoxing. What scale would Nurse Jorge use as part of his assessment?
  1. CIWA
  2. Beck’s
  3. COWS
  4. PHQ-9
7 .
Nurse Tony has just come on shift and has been assigned to a new client diagnosed with opioid overdose. Nurse Tony recognizes the opioid overdose triad by what signs and symptoms?
  1. profuse sweating, dilated pupils, and motor agitation
  2. pinpoint pupils, respiratory depression, and decreased level of consciousness
  3. nausea and vomiting, hypertension, and hallucinations
  4. dilated pupils, anxiety, and hypertension
8 .
Lucy is a fifteen-year-old who lives with her mother. She frequently takes care of her eight-year-old brother when their mother is intoxicated on the pain pills she takes for an injury that was the result of a motor vehicle accident. How does Lucy recognize her mother as intoxicated?
  1. She is drowsy and has slurred speech.
  2. She is hyperactive and cannot stop talking.
  3. She is happy and able to go to work.
  4. She has insomnia and eats a lot.
9 .
Withdrawal management is important in treating substance use disorders. Why is it is considered the first step in recovery?
  1. It provides stabilization.
  2. It provides resources.
  3. It provides increased tolerance.
  4. It provides decreased dependence.
10 .
A primary care provider’s office is seeing more and more clients come to appointments with symptoms that could be attributed to substance use disorder. In order to use evidence-based practice, the office decides to institute a new practice of assessing all clients at each visit. For this to be effective, what is the first step that needs to be put into place?
  1. asking each client if they are using any substances
  2. sending out a letter to each client to let them know of this new policy
  3. training all staff who will be completing client assessments
  4. posting lists of community resources on the waiting room wall
11 .
Nurses frequently caring for clients who use substances understand that treatment options vary depending upon the substance used. When caring for a client who is actively detoxing, the first step is helping the client get through the withdrawal process safely. Medications can help relieve some of the symptoms of withdrawal. What is the best way for the nurse to determine what medications to administer?
  1. Wait for the doctor’s order.
  2. Ask the client what they have used in the past that worked for those symptoms.
  3. Rate the client’s symptoms according to CIWA, CINA, or COWS.
  4. Review the client’s chart for allergies.

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