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NUR 253 – Unit 9, Substance Abuse Questions *adapted from NurseLabs.com

• Nurse Rob has observed a co-worker arriving to work drunk at least

three times in the past month. Which action by Nurse Rob would best ensure client safety and obtain necessary assistance for the co-worker?

• Ignore the co worker’s behavior, and frequently assess the clients assigned

to the co-worker.

• Make general statements about safety issues at the next staff meeting.
• Report the coworker’s behavior to the appropriate supervisor.
• Warn the co-worker that this practice is unsafe.
• Elsa is being treated in a chemical dependency unit. She tells the

nurse that she only uses drugs when under stress and therefore does not have a substance problem. Which defense mechanism is the client using?

• Compensation
• Denial
• Suppression
• Undoing
• Nurse Tara is teaching a community group about substance abuse.

She explains that a genetic component has been implicated in which of the following commonly abused substances?

• Alcohol
• Barbiturates
• Heroin
• Marijuana
• Nurse Julie recommends that the family of a client with substance-

related disorder attend a support group, such as Al-Anon and Alateen.

The purpose of these groups is to help family members understand the

problem and to:

• Change the problem behaviors of the abuser.
• Learn how to assist the abuser in getting help.
• Maintain focus on changing their own behaviors.
• Prevent substance problems in vulnerable family members.
• Ryan who is a chronic alcohol abuser is being assessed by Nurse

Gina. Which problems are related to thiamin deficiency?

• Cardiovascular symptoms, such as decreased hemoglobin and hematocrit

levels

• CNS symptoms, such as ataxia and peripheral neuropathy
• Gastrointestinal symptoms, such as nausea and vomiting
• Respiratory symptoms, such as cough and sore throat
• Nurse Wilma is teaching a client about disulfiram (Antabuse), which

the client is taking to deter his use of alcohol. She explains that using

alcohol when taking this medication can result in:

• Abdominal cramps and diarrhea.
• Drowsiness and decreased respiration.
• Flushing, vomiting, and dizziness.
• Increased pulse and blood pressure.
• The nurse administers bromocriptine (Parlodel) to Bryan who is

undergoing detoxification for amphetamine abuse. The rationale for

this medication is to:

• Aid in GABA inhibition.
• Prevent norepinephrine excess.
• Restore depleted dopamine levels.
• Treat psychotic symptoms.

• Which medication is commonly used in treatment programs for

heroin abusers to produce a non-euphoric state and to replace heroin use?

• Diazepam
• Carbamazepine
• Clonidine
• Methadone
• Nurse Christine is teaching an adolescent health class about the

dangers of inhalant abuse; the nurse warns about the possibility of:

• Contracting an infectious disease, such as hepatitis or AIDS
• Recurrent flashback events
• Psychological dependence after initial use
• Sudden death from cardiac or respiratory depression
• The newly hired nurse at Nurseslabs Medical Center is assessing a

client who abuses barbiturates and benzodiazepine. The nurse would observe for evidence of which withdrawal symptoms?

• Anxiety, tremors, and tachycardia
• Respiratory depression, stupor, and bradycardia
• Muscle aches, cramps, and lacrimation
• Paranoia, depression, and agitation
• The community nurse practicing primary prevention of alcohol

abuse would target which groups for educational efforts?

• Adolescents in their late teens and young adults in their early twenties
• Elderly men who live in retirement communities
• Women working in careers outside the home
• Women working in the home