Chapter 19 Substance-Related and Addictive
Disorders UPDATED ACTUAL Exam
Questions and CORRECT Answers
The nurse is educating a group of adolescents about different kinds of substance abuse. In which
category can magic mushrooms be classified?
Stimulants
Hallucinogens
Cannabinoids
Opioids - CORRECT ANSWER - Hallucinogens.
Substances may be classified according to their mechanism of action. Magic mushrooms, a
common street name of psilocybin, can be classified as hallucinogens for their severe
hallucinogenic effects. Stimulants, cannabinoids, and opioids are other categories of substances.
Cocaine, amphetamine, and methamphetamine are stimulants. Marijuana and hashish are
cannabinoids. Heroin and opium are opioids.
Test-Taking Tip: Start by reading each of the answer options carefully. Usually at least one of
them will be clearly wrong. Eliminate this one from consideration. Now you have reduced the
number of response choices by one and improved the odds. Continue to analyze the options. If
you can eliminate one more choice in a four-option question, you have reduced the odds to
50/50. While you are eliminating the wrong choices, recall often occurs. One of the options may
serve as a trigger that causes you to remember what a few seconds ago had seemed completely
forgotten.
p. 308
,The nurse is assessing a client who reports slowly increasing the number of cigarettes consumed
per day over the last 5 years. What aspect of tobacco use is the client describing?
Addiction
Tolerance
Withdrawal
Intoxication - CORRECT ANSWER - Tolerance.
Tolerance occurs when a person needs increased quantities of a substance to obtain the desired
effect, thereby increasing the total intake of a substance. Addiction is caused due to a disturbance
in the regulation of the pleasure-seeking pathway of the brain leading to the need for an
increased dose of the same substance for relief. Withdrawal occurs when a person experiences
physiological symptoms due to a decrease of the substance in the blood stream. Intoxication
occurs when a person uses a substance in excess.
p. 299
When caring for a client demonstrating signs and symptoms of alcohol intoxication, which need
is the priority?
Self-esteem
Safety and security
Cultural preferences
Physiological stability - CORRECT ANSWER - Safety and security.
, Safety is the highest priority because of the client's imminent risks for injury while intoxicated.
Physiological stability has the second highest priority. The plan should also address self esteem
and cultural needs, but these are not the highest priority.
Test-Taking Tip: Look for answers that focus on the patient or are directed toward feelings.
p. 310
A nurse is teaching high school students about commonly abused drugs and their effects. Which
common substances are abused via swallowing?
Opium
Alcohol
Marijuana
Nicotine
Heroin - CORRECT ANSWER - Opium
Alcohol
Marijuana
Substances that are abused by swallowing include opium, alcohol, and marijuana. Opium is an
opioid which can be swallowed and smoked. Alcohol is found in liquor, beer, and wine and is
abused through swallowing. Marijuana is a cannabinoid and can be swallowed and smoked.
Nicotine is the main ingredient in tobacco and is smoked, snorted, or chewed (but not
swallowed). Heroin is an opioid and can be injected, snorted, and smoked.
p. 298
Disorders UPDATED ACTUAL Exam
Questions and CORRECT Answers
The nurse is educating a group of adolescents about different kinds of substance abuse. In which
category can magic mushrooms be classified?
Stimulants
Hallucinogens
Cannabinoids
Opioids - CORRECT ANSWER - Hallucinogens.
Substances may be classified according to their mechanism of action. Magic mushrooms, a
common street name of psilocybin, can be classified as hallucinogens for their severe
hallucinogenic effects. Stimulants, cannabinoids, and opioids are other categories of substances.
Cocaine, amphetamine, and methamphetamine are stimulants. Marijuana and hashish are
cannabinoids. Heroin and opium are opioids.
Test-Taking Tip: Start by reading each of the answer options carefully. Usually at least one of
them will be clearly wrong. Eliminate this one from consideration. Now you have reduced the
number of response choices by one and improved the odds. Continue to analyze the options. If
you can eliminate one more choice in a four-option question, you have reduced the odds to
50/50. While you are eliminating the wrong choices, recall often occurs. One of the options may
serve as a trigger that causes you to remember what a few seconds ago had seemed completely
forgotten.
p. 308
,The nurse is assessing a client who reports slowly increasing the number of cigarettes consumed
per day over the last 5 years. What aspect of tobacco use is the client describing?
Addiction
Tolerance
Withdrawal
Intoxication - CORRECT ANSWER - Tolerance.
Tolerance occurs when a person needs increased quantities of a substance to obtain the desired
effect, thereby increasing the total intake of a substance. Addiction is caused due to a disturbance
in the regulation of the pleasure-seeking pathway of the brain leading to the need for an
increased dose of the same substance for relief. Withdrawal occurs when a person experiences
physiological symptoms due to a decrease of the substance in the blood stream. Intoxication
occurs when a person uses a substance in excess.
p. 299
When caring for a client demonstrating signs and symptoms of alcohol intoxication, which need
is the priority?
Self-esteem
Safety and security
Cultural preferences
Physiological stability - CORRECT ANSWER - Safety and security.
, Safety is the highest priority because of the client's imminent risks for injury while intoxicated.
Physiological stability has the second highest priority. The plan should also address self esteem
and cultural needs, but these are not the highest priority.
Test-Taking Tip: Look for answers that focus on the patient or are directed toward feelings.
p. 310
A nurse is teaching high school students about commonly abused drugs and their effects. Which
common substances are abused via swallowing?
Opium
Alcohol
Marijuana
Nicotine
Heroin - CORRECT ANSWER - Opium
Alcohol
Marijuana
Substances that are abused by swallowing include opium, alcohol, and marijuana. Opium is an
opioid which can be swallowed and smoked. Alcohol is found in liquor, beer, and wine and is
abused through swallowing. Marijuana is a cannabinoid and can be swallowed and smoked.
Nicotine is the main ingredient in tobacco and is smoked, snorted, or chewed (but not
swallowed). Heroin is an opioid and can be injected, snorted, and smoked.
p. 298
