St. Thomas University / NUR 650 NUR 650 Quiz 3 Substance Use and Addictive Disorders DSM 5 Opioid Use Disorder Benzodiazepine Withdrawal Alcohol Withdrawal Delirium Tremens CIWA Protocol 12 Step Recovery Program Buprenorphine Pharmacology Stimulant Intox

St. Thomas University / NUR 650 NUR 650 Quiz 3 Substance Use and Addictive Disorders DSM 5 Opioid Use Disorder Benzodiazepine Withdrawal Alcohol Withdrawal Delirium Tremens CIWA Protocol 12 Step Recovery Program Buprenorphine Pharmacology Stimulant Intoxication Nicotine Receptors Caffeine Intake Alzheimer Treatment Donepezil Substance Abuse Assessment Mental Health Nursing Exam Questions Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026 What is the first step in the 12-step recovery program a. Confess to God yourself and another human being the nature of your wrong b. Continue to take personal inventory and when we were wrong promptly admitted it c. Humbly asked Him to remove our shortcoming d. Admit your powerlessness over addiction d. Admit your powerlessness over addiction A woman been unable to obtain heroin for several weeks because she has had no money and so has not used the drug for the past month. She went through withdrawal symptoms when she was unable to take her usual dose. She craves the drug all the time and is constantly searching for ways to get some. Her efforts to obtain heroin have seriously interfered with her ability to work and take care of her children. Which of the following DSM-5 diagnoses would best fit her symptoms? a. Opioid intoxication b. Opioid use disorder c. Opioid dependence d. Opioid addiction b. Opioid use disorder A patient with longstanding anxiety being managed by PCP was recently seen by her psychiatrist who made changes in her medications. She presents to the emergency room with hallucinations of her joints moved and nausea with agitation and anxiety. What is the diagnosis? Benzodiazepine withdrawal Which medication is a Mu-opioid partial agonist: a. Buprenorphine (Sabutex) b. Naltrexone (Revia). c. Disulfiram (Antabuse) d. Bupropion (Wellbutrin) a. Buprenorphine (Sabutex) A patient is scheduled to take a follicle test. You advise the patient this test can detect the presence of drugs for up to_____ before the sample was collected. a. 3 months b. 90 days c. 30 days d. 6 months b. 90 days A 35-year-old man presents with high blood pressure, rapid pulse, and moist warm skin. His speech is pressured and on examination he has fine tremor and hyperreflexia. Which of the following drugs has he taken. a. Alcohol b. Hallucinogen c. Stimulant d. An inhalant c. Stimulant DT = hallmark s.s of DTS: -Disorientation, confusion, and severe anxiety • Hallucinations (primarily visual) which cannot be distinguished from reality Agitation • Profuse sweating • Seizures • High blood pressure, 140/90 • Racing and irregular heartbeat, 100 • Severe tremors • High Fever 101F Alcohol withdrawal: Classic presentations • Tremors ---6-8 hours of abstinence • Visual hallucinations 8-12 hours of abstinence • Seizures 6-48 hours of abstinence == generalized tonic-clonic • Delirium tremens—begin between 48 hours and 96 hours after last drink; Peaks 72 hours of abstinence; may last up to 5 days ? CIWA Ratings-protocol for managing withdrawal • Done within 24-72 hours of last drink • Score of 15 need pharmacological treatment • Score of 8-14 possible pharmacological treatment • Score of 0-8 need for supportive treatment and monitoring You are treating a patient with a diagnosis of Alzheimer's disease. The patient's wife mentions difficulty with transportation to the clinic. Which medication is the best choice to initiate t