Med Surg Ch 12 Addictive Behavior

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  1. A person who injects heroin to experience the euphoria it causes is demonstrating

    A. Addiction
    B. Tolerance
    C. Abuse
    D. Addictive behavior
    (this multiple choice question has been scrambled)
  2. The effects of long-term addictive substances on the brain lead to

    A. Loss of pleasure from experiences that previously resulted in enjoyment.
    B. Potentiation of effects of similar drugs taken when the individualis drug free.
    C. Destruction of mesolimbic system
    D. Increased availability of dopamine
    (this multiple choice question has been scrambled)
  3. A major public health problem related to the behaviors of substance abuse is the prevalence of

    A. Malnutrition
    B. Hepatitis C
    C. Respiratory depression and arrest
    D. Infective endocarditis
    (this multiple choice question has been scrambled)
  4. The nurse would suspect cocaine overdose in the patient who is experiencing

    A. Craving, restlessness, irritability
    B. Slow, shallow respirations, hyporeflexia, and blurred vision
    C. Agitation, cardiac dysrhythmia, and seizures
    D. Diarrhea, nausea and vomiting, and confusion
    (this multiple choice question has been scrambled)
  5. 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

    A. Increase the patient's motivation to quit by explaining that continued smoking will only increase the breathinging problems
    B. Realize that some smokers will never quit, and trying to assist them only increases the patient's and the nurse's frustration
    C. Ask the patient at every clinic visit to identify the relevance, risks, and benefits of quitting and what barriers to quitting are present
    D. Accept the patient's decision and not intervene until the patient expresses a desire to quit
    (this multiple choice question has been scrambled)
  6. While caring for a patient who is experiencing alcohol withdrawal the nurse should

    A. Provide stimulant beverages such as coffee or tea to counteract the effects of alcohol
    B. Orient the patient to the environment and personnel with each contact
    C. Assist the patient to ambulate frequently to increase the metabolism of alcohol
    D. Provide a quiet, nonstimulating, dimly lit environment
    (this multiple choice question has been scrambled)
  7. A patient who is dependent on intravenous barbiturates is scheduled for surgery following an automobile accident. The nurse recognizes that this patient

    A. Has a low risk for physical withdrawal symptoms but is likely to experience craving and drug-seeking behavior during the postoperative period
    B. May have an immediate onset of withdrawal symptoms when given anesthetic and analgesic agents
    C. May need less pain medication during the postoperative period
    D. Should be provided with tapering doses of barbiturates following surgery
    (this multiple choice question has been scrambled)
  8. When caring for a patient following surgery for a fractured femur who is dependent on opioids, the nurse should

    A. Avoid giving narcotics
    B. Insist that the patient stop all drugs of abuse
    C. Provide patient-controlled analgesia
    D. Treat the patient's report of pain with opioids
    (this multiple choice question has been scrambled)
  9. During motivational interviewing with a patient, the nurse should

    A. Ask a prescribed set of questions to increase the patient's awareness of addiction behaviors
    B. Use any method of communication that will make the patient change behavior
    C. Relate motivational techniques to the patient's stage of behavior change
    D. Insist that the patient maintain abstinence while undergoing therapy
    (this multiple choice question has been scrambled)
  10. Substance abuse problems in older adults are most commonly related to

    A. Use of drugs and alcohol as a social activity
    B. A pattern of binge drinking for weeks or months with periods of sobriety
    C. Misuse of prescribed and over-the-counter drugs and alcohol
    D. Continuing the use of illegal drugs initiated during middle age
    (this multiple choice question has been scrambled)
  11. Absence of a substance will cause withdrawal symptoms.
    Physical dependence
  12. Responses occurring after abrupt cessation of a substance.
  13. Return to drug use after a period of abstinence.
  14. Drug use for purposes other than intended.
  15. Compulsive need to experience pleasure.
    Psychologic dependence
  16. Overuse and dependence on substance that negatively affects functioning.
  17. Refraining from substance use.
  18. Decreased effect of substance following repeated exposure.
  19. Overwhelming desire for substance after decreased use.
  20. Removal of the drug and its effects from the body.
  21. Compulsive use of substances for physical and psychologic effects.
  22. The neurotransmitter that appears to have a dominant effect on the process of addiction is

    A. Serotonin
    B. Gamma-aminobutyric acid (GABA)
    C. Norepinephrine
    D. Dopamine
    (this multiple choice question has been scrambled)
  23. 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

    A. Need less drug for the desired effects, decreasing the signs of drug use
    B. Use the drug to feel and function normally
    C. Experience different behavior only when the substance is not available
    D. Maintain normal behavior to prevent detection of addiction
    (this multiple choice question has been scrambled)
  24. In working with culturally diverse populations, the nurse recognizes that health problems related to addiction include high rates of

    A. AIDS in Latino women
    B. Hepatitis C in Asian populations
    C. Acoholism in Native Americans
    D. Marijuana use in women of all cultures
    (this multiple choice question has been scrambled)
  25. 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. Nervousness
    B. Mild tremors
    C. A headache
    D. Shortness of breath
    (this multiple choice question has been scrambled)
  26. 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

    A. Include a substance that eventually creates an aversion to nicotine
    B. Provide a noncarcinogenic nicotine, unlike the nicotine in cigarettes
    C. Eliminate the thousands of toxic chemicals that are inhaled with smoking
    D. Prevent the weight gain that is of concern to women who stop smoking
    (this multiple choice question has been scrambled)
  27. 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

    A. Early prescription use of the drug with increasing dosage and frequency without medical indications
    B. Illegal, intermittent social use that leads t odaily use and rapid tolerance
    C. Learned behavior from parents who demonstrated substance abuse for solutions to problems
    D. A psychological dependence that results in anxiety but not physical symptoms if the drug is stopped
    (this multiple choice question has been scrambled)
  28. The best approach by the nurse to assess a newly admitted patient's use of addictive drugs is to ask the patient,

    A. "What alcohol or recreational drugs do you use?"
    B. "How do you relieve your stress?"
    C. "You don't use illegal drugs, do you?"
    D. "Do you have any addictions we should know about to prevent complications?"
    (this multiple choice question has been scrambled)
  29. Four Characteristics of signs of withdrawal

    • 1. Gross tremors
    • 2. Seizures
    • 3. Hallucinations
    • 4. Alcohol withdrawal delirium
  30. 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

    A. Ineffective health maintenance
    B. Ineffective coping
    C. Defensive coping
    D. Ineffective denial
    (this multiple choice question has been scrambled)
  31. To stop the behavior that leads to the most preventable cause of death in the United States, the nurse should support programs that

    A. Recognize addictions as illnesses rather than crimes
    B. Motivate individuals to enter addiction treatment
    C. Prohibit alochol use in public places
    D. Prevent tobacco use in children and adolescents
    (this multiple choice question has been scrambled)
  32. 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. 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.
  33. 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

    A. The patient's current blood alchohol concentration
    B. How much alcohol has recently been used
    C. What type of alcohol has recently been ingested
    D. When the patient last had alcohol intake
    (this multiple choice question has been scrambled)
  34. 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

    A. Provide a darkened, quiet environment free from external stimuli
    B. Use restraints as necessary to prevent the patient from reacting violently to hallucinations
    C. Force fluids to assist in diluting the alcohol concentration in the blood
    D. Monitor vital signs frequently to detect an extreme autonomic nervous system response
    (this multiple choice question has been scrambled)
  35. What are four precations indicated for the alcoholic patient who is alcohol intoxicated and is undergoing emergency surgery?

    • 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
  36. 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?

    A. IV haloperidol (Haldol)
    B. IV thiamine
    C. IV benzodiazepines
    D. D5 in 1/2 normal saline at 100 ml/hr
    (this multiple choice question has been scrambled)
  37. 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

    A. Refrain from talking about her alcohol use while the patient is in denial
    B. Explain that the gastritis is evident that alcohol is affecting her health
    C. Help the patient consider the positive and negative factors of drinking
    D. Reassure the patent that she can quit drinking when she finally decides she wants to
    (this multiple choice question has been scrambled)
  38. When assessing an older patient for substance abuse, the nurse specifically asks the patient about the use of alcohol and

    A. Central nervous system medications
    B. Opioids
    C. Prescription and over-the-counter medications
    D. Sedative-hypnotics
    (this multiple choice question has been scrambled)
  39. Alkaloid in tobacco that causes dependence and it is the most rapidly addicting of the drugs of abuse.
  40. Most potent of the abused stimulants.
  41. Poor man's cocaine.
  42. Most widely used psychoactive substance in the world.
  43. Wernicke's encephalopathy
    Thiamine deficiency
  44. Korsakoff's psychosis
    Loss of short term memory; inability to learn
  45. Leading cause of preventable illness and death in the U.S.
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Med Surg Ch 12 Addictive Behavior
2010-06-14 00:14:17
med surg chapter addictive behavior nclex nursing

Addictive Behavior
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