C HAPTER 17: S UBSTANCE U SE D ISORDER
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse is presenting a substance -abuse lecture for teenagers and is
asked about “ecstasy.” The nurse recognizes that this is the slang term for
which substance?
a. Cocaine
b. Flunitrazepam
c. Methamphetamine methylenedi -ox ymethamphetamine (MDMA)
d. Methylenediox ymethamphetamine (MDMA)
ANS: B
MDMA is also known as “ecstasy” or “E” and is a synthetic
amphetamine derivative. The other drugs are not known as ecstasy.
DIF: Cognitive Level: Remembering (Knowledge)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Reduction of Risk
Potential
2. A 29-year-old patient is admitted to the intensive c are unit with the
following symptoms: restlessness, hyperactive reflexes, talkativeness,
confusion and periods of panic, and tachycardia. The nurse suspects that
he may be experiencing the effects of taking which substance?
a. Opioids
b. Alcohol
c. Stimulants
, d. Depressants
ANS: C
The adverse effects listed may occur with use of stimulants and are
commonl y an extension of their therapeutic effects. Opioids, alcohol,
and depressants do not have these effects.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Assessment
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. When admitting a patient with a suspected diagnosis of chronic alcohol
use, the nurse will keep in mind that chronic use of alcohol might result in
which condition?
a. Renal failure
b. Cerebrovascular accident
c. Korsakoff’s psychosis
d. Alzheimer’s disease
ANS: C
A variet y of serious neurologic and mental disorders, such as
Korsakoff’s psychosis and Wernicke ’s encephalopathy, as well as
cirrhosis of the liver, may occur w ith chronic use of alcohol. Renal
failure, cerebrovascular accident, and Alzheimer ’s disease are not
associated directl y with chronic use of alcohol.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NC LEX: Physiological Integrit y: Physiological Adaptation
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse is presenting a substance -abuse lecture for teenagers and is
asked about “ecstasy.” The nurse recognizes that this is the slang term for
which substance?
a. Cocaine
b. Flunitrazepam
c. Methamphetamine methylenedi -ox ymethamphetamine (MDMA)
d. Methylenediox ymethamphetamine (MDMA)
ANS: B
MDMA is also known as “ecstasy” or “E” and is a synthetic
amphetamine derivative. The other drugs are not known as ecstasy.
DIF: Cognitive Level: Remembering (Knowledge)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Reduction of Risk
Potential
2. A 29-year-old patient is admitted to the intensive c are unit with the
following symptoms: restlessness, hyperactive reflexes, talkativeness,
confusion and periods of panic, and tachycardia. The nurse suspects that
he may be experiencing the effects of taking which substance?
a. Opioids
b. Alcohol
c. Stimulants
, d. Depressants
ANS: C
The adverse effects listed may occur with use of stimulants and are
commonl y an extension of their therapeutic effects. Opioids, alcohol,
and depressants do not have these effects.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Assessment
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. When admitting a patient with a suspected diagnosis of chronic alcohol
use, the nurse will keep in mind that chronic use of alcohol might result in
which condition?
a. Renal failure
b. Cerebrovascular accident
c. Korsakoff’s psychosis
d. Alzheimer’s disease
ANS: C
A variet y of serious neurologic and mental disorders, such as
Korsakoff’s psychosis and Wernicke ’s encephalopathy, as well as
cirrhosis of the liver, may occur w ith chronic use of alcohol. Renal
failure, cerebrovascular accident, and Alzheimer ’s disease are not
associated directl y with chronic use of alcohol.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NC LEX: Physiological Integrit y: Physiological Adaptation
