NUR341 Exam 4 Content 2026
Exam Questions and Correct
Answers | New Update
substance use disorder primary affect which body system - ANSWER
✔✔limbic system
neurotransmitters involved in addiction - ANSWER ✔✔dopamine,
serotonin, GABA
components of addiction (4) - ANSWER ✔✔pleasure, loss of control,
continued use despite problems, denial
physical dependence (addiction) - ANSWER ✔✔withdrawal
symptoms and tolerance
,process addiction - ANSWER ✔✔Preoccupation with activity and
compulsion to engage despite negative consequences
dual diagnosis (addiction) - ANSWER ✔✔substance use disorder and
psychiatric disorder
affects 50% of people with serious mental illness
list the defense mechanisms commonly used by pts with substance use
disorder - ANSWER ✔✔minimization, denial, projection,
rationalization
minimization defense mechanisms - ANSWER ✔✔down plays things
(say they drink less than they really do (say 3 when it's 6)
projection (defense mechanism) - ANSWER ✔✔Attributing feelings or
impulses unacceptable to ones self to another person.
Rationalization (defense mechanism) - ANSWER ✔✔Attempting to
make excuses or formulate logical reasons to justifying unacceptable
feelings or behaviors.
EX: John tells the rehab nurse, "I drink because its the only way I can
deal with my bad marriage and awful job."
, True or False: when dealing with addiction you confront defense
mechanisms - ANSWER ✔✔false, do not confront defense
mechanisms in pt with addiction
alcohol MOA - ANSWER ✔✔increase GABA, decrease glutamate,
increase dopamine in reward center, is a CNS depressant
Cocaine MOA - ANSWER ✔✔activates dopamine transmission in
limbic system, stimulant
Opiates MOA - ANSWER ✔✔used for pain (attach to opioid
receptors), addiction: activation of dopaminergic neurons
acute effects of alcohol - ANSWER ✔✔euphoria, feelings of warmth,
relaxation, loss of shyness, lowered inhibitions, impaired judgment,
impaired reaction time, impaired muscle control, mood swings
acute effects of cocaine - ANSWER ✔✔feelings of euphoria,
pleasure, increased energy
mild intoxication: dizziness, irritability, tremor, blurred vision
severe intoxication: hallucinations, seizures, fever, tachycardia, HTN,
chest pain, cardiovascular collapse, death
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
Exam Questions and Correct
Answers | New Update
substance use disorder primary affect which body system - ANSWER
✔✔limbic system
neurotransmitters involved in addiction - ANSWER ✔✔dopamine,
serotonin, GABA
components of addiction (4) - ANSWER ✔✔pleasure, loss of control,
continued use despite problems, denial
physical dependence (addiction) - ANSWER ✔✔withdrawal
symptoms and tolerance
,process addiction - ANSWER ✔✔Preoccupation with activity and
compulsion to engage despite negative consequences
dual diagnosis (addiction) - ANSWER ✔✔substance use disorder and
psychiatric disorder
affects 50% of people with serious mental illness
list the defense mechanisms commonly used by pts with substance use
disorder - ANSWER ✔✔minimization, denial, projection,
rationalization
minimization defense mechanisms - ANSWER ✔✔down plays things
(say they drink less than they really do (say 3 when it's 6)
projection (defense mechanism) - ANSWER ✔✔Attributing feelings or
impulses unacceptable to ones self to another person.
Rationalization (defense mechanism) - ANSWER ✔✔Attempting to
make excuses or formulate logical reasons to justifying unacceptable
feelings or behaviors.
EX: John tells the rehab nurse, "I drink because its the only way I can
deal with my bad marriage and awful job."
, True or False: when dealing with addiction you confront defense
mechanisms - ANSWER ✔✔false, do not confront defense
mechanisms in pt with addiction
alcohol MOA - ANSWER ✔✔increase GABA, decrease glutamate,
increase dopamine in reward center, is a CNS depressant
Cocaine MOA - ANSWER ✔✔activates dopamine transmission in
limbic system, stimulant
Opiates MOA - ANSWER ✔✔used for pain (attach to opioid
receptors), addiction: activation of dopaminergic neurons
acute effects of alcohol - ANSWER ✔✔euphoria, feelings of warmth,
relaxation, loss of shyness, lowered inhibitions, impaired judgment,
impaired reaction time, impaired muscle control, mood swings
acute effects of cocaine - ANSWER ✔✔feelings of euphoria,
pleasure, increased energy
mild intoxication: dizziness, irritability, tremor, blurred vision
severe intoxication: hallucinations, seizures, fever, tachycardia, HTN,
chest pain, cardiovascular collapse, death
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
