Addiction Questions with Verified
Answers
A client states, "I do not smoke, but I did binge drink a few times before I knew I was
pregnant." Prior to teaching on substance use and abuse, what is the nurse's
understanding of the effects of binge drinking on the fetus?
A. Developmental delay
B. Renal agenesis
C. Sensory deficits
D. Cardiac defects - ANSWERSA.
Developmental delay
Rationale: Alcohol is considered a teratogenic agent that interrupts development or can
cause malformation in an embryo or fetus. Alcohol use can lead to developmental
delay. Alcohol use during pregnancy can lead to fetal alcohol spectrum disorders
(FASDs) and other adverse birth outcomes, including developmental delay. Cardiac
defects, sensory deficits, and renal agenesis are not common findings associated with
alcohol use in pregnancy.
A client tells the nurse that their husband often comes home late after drinking with
friends and wakes up the family. The client doesn't want to say anything to the husband
because "he works hard and needs to relax." Which behavior is the client exhibiting?
A.
Intervention
B.
Codependence
C.
Confrontation
D.
Collaboration - ANSWERSB.
Codependence
Rationale: Codependence involves behaviors of family members that support the
addiction of another family member. An intervention is a planned attempt to get
someone to seek professional help with an addiction. Collaboration is working together
for a common goal. A confrontation is an act of angry opposition.
A pregnant client at 20 weeks' gestation is admitted for dehydration after trying to detox
in the home environment. The client reports being nauseated and vomiting for the past
week. During the plan of care, the nurse determines that the client will have a diagnosis
of Nutrition, Imbalanced: Less than Body Requirements. Which nursing goal is
appropriate for this client? (Select all that apply.)
,A.
The client will verbalize negative effects of substance use on the body.
B.
The client will maintain body weight.
C.
The client will remain free of signs of infection.
D.
The client will verbalize negative effects of substance use on fetal health.
E.
The client will maintain fluid balance. - ANSWERSA, B, D, E
Rationale: The nursing goals for the client who is at 20 weeks' gestation admitted for
dehydration after trying to detox in the home environment are to maintain fluid balance
and body weight and to verbalize the negative effects of substance use on both the
fetus' health and their own health. The focus of the nursing goal is on nutrition, not
infection.
The emergency department nurse is providing care to a client who admits to substance
abuse. Which physical symptoms should the nurse assess during the physical
examination? (Select all that apply.)
A.
Inflamed nasal mucosa
B.
Poor nutritional status
C.
Staggering gait
D.
Dilated pupils
E.
Complaints of cough - ANSWERSA, B, C, D
Rationale: Dilated pupils, poor nutritional status, inflamed nasal mucosa, and staggering
gait may all be physical signs of substance abuse. Complaints of a cough are not a
typical physical sign of substance abuse.
The nurse conducting a health history should consider which factor as a risk for
substance use disorders? (Select all that apply.)
A.
Divorce
B.
Loneliness
C.
Family history
D.
Mental illness
E.
,Low income - ANSWERSB, C, D
Rationale: Mental illness, loneliness, and family history are risk factors that might
predispose a client to develop a substance use disorder. Having a low income or being
divorced does not predispose a client to developing a substance use disorder.
The nurse is caring for a client experiencing confusion related to alcohol abuse. Which
nutritional impairment has contributed to the client's decreased cognitive ability?
A.
Folate deficiency
B.
Vitamin B12 deficiency
C.
Niacin deficiency
D.
Vitamin B1 deficiency - ANSWERSD.
Vitamin B1 deficiency
Rationale: Clients who engage in any type of substance abuse are at risk for
deficiencies in key nutrients. A vitamin B1 (thiamine) deficiency in the brain causes
changes in cognition, especially confusion. Deficiencies in vitamin B3 (niacin), vitamin
B9 (folate), and vitamin B12 (cobalamin) are not directly linked to decreased cognitive
ability.
The nurse is caring for a client starting a smoking cessation treatment. Which type of
drug should the nurse consider appropriate for treatment of the client's nicotine
addiction?
A.
An antiseizure drug
B.
A benzodiazepine
C.
An antidepressant
D.
An opiate antagonist - ANSWERSC.
An antidepressant
Rationale: Some antidepressants have been shown to reduce the craving for nicotine
and support smoking cessation programs. Benzodiazepines are used as
anticonvulsants and to diminish anxiety during drug withdrawal. Antiseizure drugs are
used to reduce and control seizures during drug withdrawal. Opiate antagonists are
used to treat narcotic overdose.
The nurse is caring for a client with a substance use disorder. The client states to the
nurse, "I really appreciate all of your care. Can we meet for a cup of coffee sometime?"
Which statement made by the nurse provides the most therapeutic response?
, A.
"When you have completed your treatment, we most certainly can meet for a cup of
coffee."
B.
"I would love to meet you for a cup of coffee."
C.
"Thank you, but I will not be able to. It is important that we maintain a therapeutic
relationship."
D.
"You are my client, and it is unethical for me to do that." - ANSWERSC.
"Thank you, but I will not be able to. It is important that we maintain a therapeutic
relationship."
Rationale: Often, substance users have an unhealthy sense of personal boundaries and
frequently cross them. Clinicians need to be aware of professional boundaries, which
the client can violate or exploit. The statement that provides the most therapeutic
response is, "Thank you, but I will not be able to. It is important that we maintain a
therapeutic relationship." The statement acknowledges the client and reinforces the
therapeutic boundaries. Telling the client, "I would love to meet you for a cup of coffee,"
is unethical and violates the professional boundaries. Stating to the client, "You are my
client and it is unethical for me to do that," does not acknowledge the client's personal
feelings. Stating to the client, "When you have completed your treatment, we most
certainly can meet for a cup of coffee," promotes an ambiguous relationship that is not
therapeutic for the client.
The nurse is caring for a client with alcohol addiction. The therapist on the treatment
team has implemented a contingency contract. Which statement reflects the nurse's
understanding of the use of a contingency contract?
A.
The client will be rewarded when meeting desired outcomes.
B.
It is an active solution that resolves emotional, cognitive, and behavioral problems.
C.
The client is taught how to regulate destructive emotions, practice mindfulness, and
tolerate distress.
D.
It is a progressive weakening of an undesirable behavior through repeated
nonreinforcement of the behavior. - ANSWERSA.
The client will be rewarded when meeting desired outcomes.
Rationale: A contingency contract may be an effective reinforcement process in which
the client is rewarded when meeting desired outcomes. Rational emotive behavior
therapy is an active solution that resolves emotional, cognitive, and behavioral
problems. A progressive weakening of an undesirable behavior through repeated
nonreinforcement of the behavior is the definition for the term extinction. Dialectical
Answers
A client states, "I do not smoke, but I did binge drink a few times before I knew I was
pregnant." Prior to teaching on substance use and abuse, what is the nurse's
understanding of the effects of binge drinking on the fetus?
A. Developmental delay
B. Renal agenesis
C. Sensory deficits
D. Cardiac defects - ANSWERSA.
Developmental delay
Rationale: Alcohol is considered a teratogenic agent that interrupts development or can
cause malformation in an embryo or fetus. Alcohol use can lead to developmental
delay. Alcohol use during pregnancy can lead to fetal alcohol spectrum disorders
(FASDs) and other adverse birth outcomes, including developmental delay. Cardiac
defects, sensory deficits, and renal agenesis are not common findings associated with
alcohol use in pregnancy.
A client tells the nurse that their husband often comes home late after drinking with
friends and wakes up the family. The client doesn't want to say anything to the husband
because "he works hard and needs to relax." Which behavior is the client exhibiting?
A.
Intervention
B.
Codependence
C.
Confrontation
D.
Collaboration - ANSWERSB.
Codependence
Rationale: Codependence involves behaviors of family members that support the
addiction of another family member. An intervention is a planned attempt to get
someone to seek professional help with an addiction. Collaboration is working together
for a common goal. A confrontation is an act of angry opposition.
A pregnant client at 20 weeks' gestation is admitted for dehydration after trying to detox
in the home environment. The client reports being nauseated and vomiting for the past
week. During the plan of care, the nurse determines that the client will have a diagnosis
of Nutrition, Imbalanced: Less than Body Requirements. Which nursing goal is
appropriate for this client? (Select all that apply.)
,A.
The client will verbalize negative effects of substance use on the body.
B.
The client will maintain body weight.
C.
The client will remain free of signs of infection.
D.
The client will verbalize negative effects of substance use on fetal health.
E.
The client will maintain fluid balance. - ANSWERSA, B, D, E
Rationale: The nursing goals for the client who is at 20 weeks' gestation admitted for
dehydration after trying to detox in the home environment are to maintain fluid balance
and body weight and to verbalize the negative effects of substance use on both the
fetus' health and their own health. The focus of the nursing goal is on nutrition, not
infection.
The emergency department nurse is providing care to a client who admits to substance
abuse. Which physical symptoms should the nurse assess during the physical
examination? (Select all that apply.)
A.
Inflamed nasal mucosa
B.
Poor nutritional status
C.
Staggering gait
D.
Dilated pupils
E.
Complaints of cough - ANSWERSA, B, C, D
Rationale: Dilated pupils, poor nutritional status, inflamed nasal mucosa, and staggering
gait may all be physical signs of substance abuse. Complaints of a cough are not a
typical physical sign of substance abuse.
The nurse conducting a health history should consider which factor as a risk for
substance use disorders? (Select all that apply.)
A.
Divorce
B.
Loneliness
C.
Family history
D.
Mental illness
E.
,Low income - ANSWERSB, C, D
Rationale: Mental illness, loneliness, and family history are risk factors that might
predispose a client to develop a substance use disorder. Having a low income or being
divorced does not predispose a client to developing a substance use disorder.
The nurse is caring for a client experiencing confusion related to alcohol abuse. Which
nutritional impairment has contributed to the client's decreased cognitive ability?
A.
Folate deficiency
B.
Vitamin B12 deficiency
C.
Niacin deficiency
D.
Vitamin B1 deficiency - ANSWERSD.
Vitamin B1 deficiency
Rationale: Clients who engage in any type of substance abuse are at risk for
deficiencies in key nutrients. A vitamin B1 (thiamine) deficiency in the brain causes
changes in cognition, especially confusion. Deficiencies in vitamin B3 (niacin), vitamin
B9 (folate), and vitamin B12 (cobalamin) are not directly linked to decreased cognitive
ability.
The nurse is caring for a client starting a smoking cessation treatment. Which type of
drug should the nurse consider appropriate for treatment of the client's nicotine
addiction?
A.
An antiseizure drug
B.
A benzodiazepine
C.
An antidepressant
D.
An opiate antagonist - ANSWERSC.
An antidepressant
Rationale: Some antidepressants have been shown to reduce the craving for nicotine
and support smoking cessation programs. Benzodiazepines are used as
anticonvulsants and to diminish anxiety during drug withdrawal. Antiseizure drugs are
used to reduce and control seizures during drug withdrawal. Opiate antagonists are
used to treat narcotic overdose.
The nurse is caring for a client with a substance use disorder. The client states to the
nurse, "I really appreciate all of your care. Can we meet for a cup of coffee sometime?"
Which statement made by the nurse provides the most therapeutic response?
, A.
"When you have completed your treatment, we most certainly can meet for a cup of
coffee."
B.
"I would love to meet you for a cup of coffee."
C.
"Thank you, but I will not be able to. It is important that we maintain a therapeutic
relationship."
D.
"You are my client, and it is unethical for me to do that." - ANSWERSC.
"Thank you, but I will not be able to. It is important that we maintain a therapeutic
relationship."
Rationale: Often, substance users have an unhealthy sense of personal boundaries and
frequently cross them. Clinicians need to be aware of professional boundaries, which
the client can violate or exploit. The statement that provides the most therapeutic
response is, "Thank you, but I will not be able to. It is important that we maintain a
therapeutic relationship." The statement acknowledges the client and reinforces the
therapeutic boundaries. Telling the client, "I would love to meet you for a cup of coffee,"
is unethical and violates the professional boundaries. Stating to the client, "You are my
client and it is unethical for me to do that," does not acknowledge the client's personal
feelings. Stating to the client, "When you have completed your treatment, we most
certainly can meet for a cup of coffee," promotes an ambiguous relationship that is not
therapeutic for the client.
The nurse is caring for a client with alcohol addiction. The therapist on the treatment
team has implemented a contingency contract. Which statement reflects the nurse's
understanding of the use of a contingency contract?
A.
The client will be rewarded when meeting desired outcomes.
B.
It is an active solution that resolves emotional, cognitive, and behavioral problems.
C.
The client is taught how to regulate destructive emotions, practice mindfulness, and
tolerate distress.
D.
It is a progressive weakening of an undesirable behavior through repeated
nonreinforcement of the behavior. - ANSWERSA.
The client will be rewarded when meeting desired outcomes.
Rationale: A contingency contract may be an effective reinforcement process in which
the client is rewarded when meeting desired outcomes. Rational emotive behavior
therapy is an active solution that resolves emotional, cognitive, and behavioral
problems. A progressive weakening of an undesirable behavior through repeated
nonreinforcement of the behavior is the definition for the term extinction. Dialectical
