Chapter 17 Substance Use Disorder
Origin: Chapter 17- Substance Use, 1
1. The client states a history of substance abuse but reports current abstinence. If valid, this
report means that the client has not used alcohol or illicit substances in at least how
many months?
A) 3
B) 6
C) 9
D) 12
Ans: D
Feedback:
If there is no use of illicit substances or alcohol in the preceding 12 months, a person is
considered abstinent.
Origin: Chapter 17- Substance Use, 2
2. The nurse assesses a 15-year-old client who shows some signs of possible drug
addiction. The nurse reviews the client's health and family history, looking for key
indicators for risk of substance dependence, such as: (Select all that apply.)
A) Obesity
B) Age at first use of illicit substance
C) Family history of alcoholism
D) Presence of a learning disability
E) Early onset of diabetes
Ans: B, C
Feedback:
In conducting a complete biopsychosocial history, two of the key indicators for risk of
substance dependence are age at first use and a family history of substance use disorder.
Obesity, presence of a learning disability, and early onset of diabetes are not key
indicators for risk of substance dependence.
Page 1
, Origin: Chapter 17- Substance Use, 3
3. The nurse works with a 16-year-old client who has an alcohol use disorder. Which
mental disorder, highly correlated to substance use disorder, should the nurse also assess
for in this client?
A) Obsessive compulsive disorder
B) Anxiety disorder
C) Major depression
D) Bipolar disorder
Ans: C
Feedback:
In the United States, substance use is highly correlated with a range of mental disorders
and serious psychological distress. Three times as many youth 12 to 17 years of age who
were diagnosed with major depression in the past year met criteria for substance use
disorder (18.2%), as compared with youth who did not have a history of mental illness
(5.8%).
Origin: Chapter 17- Substance Use, 4
4. A politically active community health nurse assists in drafting state legislation for
alcohol use laws. Which principles of the World Health Organization should be
integrated into the draft legislation? (Select all that apply.)
A) Legislation should be guided and formulated by the interests of local business
owners.
B) Alcohol policies should be equitable for all in the state.
C) Alcohol policies should be sensitive to cultural contexts.
D) Legislation should protect those with substance use disorders from serving
extended prison sentences.
E) Legislation should protect those exposed to the harmful effects of drinking by
others.
Ans: B, C, E
Feedback:
Public policies and interventions to prevent and reduce alcohol-related harm should be
guided and formulated by public health interests, not the interests of local business
owners, and based on clear public health goals and best available evidence. Alcohol
policies should be equitable and sensitive to national, religious, and cultural contexts.
Protection of populations at high risk for alcohol-related harm and those exposed to the
harmful effects of drinking by others should be an integral part of public health policies.
Populations affected by the harmful use of alcohol should have access to affordable and
effective prevention and care services. Legislation should not protect those with
substance use disorders from serving extended prison sentences.
Page 2
Origin: Chapter 17- Substance Use, 1
1. The client states a history of substance abuse but reports current abstinence. If valid, this
report means that the client has not used alcohol or illicit substances in at least how
many months?
A) 3
B) 6
C) 9
D) 12
Ans: D
Feedback:
If there is no use of illicit substances or alcohol in the preceding 12 months, a person is
considered abstinent.
Origin: Chapter 17- Substance Use, 2
2. The nurse assesses a 15-year-old client who shows some signs of possible drug
addiction. The nurse reviews the client's health and family history, looking for key
indicators for risk of substance dependence, such as: (Select all that apply.)
A) Obesity
B) Age at first use of illicit substance
C) Family history of alcoholism
D) Presence of a learning disability
E) Early onset of diabetes
Ans: B, C
Feedback:
In conducting a complete biopsychosocial history, two of the key indicators for risk of
substance dependence are age at first use and a family history of substance use disorder.
Obesity, presence of a learning disability, and early onset of diabetes are not key
indicators for risk of substance dependence.
Page 1
, Origin: Chapter 17- Substance Use, 3
3. The nurse works with a 16-year-old client who has an alcohol use disorder. Which
mental disorder, highly correlated to substance use disorder, should the nurse also assess
for in this client?
A) Obsessive compulsive disorder
B) Anxiety disorder
C) Major depression
D) Bipolar disorder
Ans: C
Feedback:
In the United States, substance use is highly correlated with a range of mental disorders
and serious psychological distress. Three times as many youth 12 to 17 years of age who
were diagnosed with major depression in the past year met criteria for substance use
disorder (18.2%), as compared with youth who did not have a history of mental illness
(5.8%).
Origin: Chapter 17- Substance Use, 4
4. A politically active community health nurse assists in drafting state legislation for
alcohol use laws. Which principles of the World Health Organization should be
integrated into the draft legislation? (Select all that apply.)
A) Legislation should be guided and formulated by the interests of local business
owners.
B) Alcohol policies should be equitable for all in the state.
C) Alcohol policies should be sensitive to cultural contexts.
D) Legislation should protect those with substance use disorders from serving
extended prison sentences.
E) Legislation should protect those exposed to the harmful effects of drinking by
others.
Ans: B, C, E
Feedback:
Public policies and interventions to prevent and reduce alcohol-related harm should be
guided and formulated by public health interests, not the interests of local business
owners, and based on clear public health goals and best available evidence. Alcohol
policies should be equitable and sensitive to national, religious, and cultural contexts.
Protection of populations at high risk for alcohol-related harm and those exposed to the
harmful effects of drinking by others should be an integral part of public health policies.
Populations affected by the harmful use of alcohol should have access to affordable and
effective prevention and care services. Legislation should not protect those with
substance use disorders from serving extended prison sentences.
Page 2
