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Addictive Behaviors: Substance and Behavioral Addiction KA

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

A nurse is caring for a client experiencing alcohol withdrawal. Which medication should the nurse anticipate administering?

a)

Haloperidol

b)

Lorazepam

c)

Methadone

d)

Naloxone

2.

Which clinical manifestation indicates opioid overdose?

a)

Hypertension and tremors

b)

Dilated pupils and restlessness

c)

Constricted pupils and respiratory depression

d)

Increased heart rate and flushed skin

3.

Which of the following is the priority nursing intervention for a client with suspected cocaine intoxication?

a)

Monitor blood glucose

b)

Initiate seizure precautions

c)

Assess fluid intake

d)

Provide a low-stimulation environment

4.

A client is taking disulfiram (Antabuse) for alcohol use disorder. What client statement requires further teaching?

a)

I can’t drink wine with dinner.

b)

I must read labels to avoid alcohol-containing products.

c)

I can drink beer after a few weeks on the medication.

d)

Mouthwash may contain alcohol and should be avoided.

5.

What finding is most consistent with stimulant abuse (e.g., amphetamines)?

a)

Bradycardia

b)

Sedation

c)

Hypertension and hypervigilance

d)

Pinpoint pupils

6.

Which client behavior best demonstrates readiness to change in substance use disorder?

a)

I’ve tried quitting before and it didn’t work.

b)

I don’t have a problem. Everyone drinks.

c)

I just want you to stop bothering me.

d)

I’ve scheduled an appointment with a counselor.

7.

What is the primary purpose of motivational interviewing in clients with substance use disorder?

a)

To confront the patient about their behavior

b)

To force the patient to accept treatment

c)

To help the patient resolve ambivalence about change

d)

To punish noncompliance with therapy

8.

Which lab finding would be expected in a chronic alcoholic?

a)

Elevated BUN

b)

Decreased AST and ALT

c)

Elevated liver enzymes (AST, ALT)

d)

Decreased mean corpuscular volume (MCV)

9.

A nurse is teaching a group about the long-term effects of inhalant abuse. Which organ is most affected?

a)

Pancreas

b)

Brain

c)

Gallbladder

d)

Small intestine

10.

Physical findings that support a diagnosis of methamphetamine abuse in a client include:

a)

Dilated pupils, poor dental hygiene, skin sores, and weight loss.

b)

Constricted pupils, excessive salivation, and bradycardia.

c)

Jaundice, ascites, and spider angiomas.

d)

Pinpoint pupils, respiratory depression, and hypotension.

11.

Which behavioral addiction is now formally recognized in the DSM-5?

a)

Social media addiction

b)

Shopping addiction

c)

Gambling disorder

d)

Internet gaming

12.

Which is the priority nursing diagnosis for a client in acute alcohol withdrawal?

a)

Risk for violence

b)

Risk for imbalanced nutrition

c)

Risk for injury

d)

Ineffective denial

13.

A client who used heroin daily for several months has stopped suddenly. Which symptom is most likely?

a)

Euphoria

b)

Tremors and sweating

c)

Slurred speech

d)

Decreased respirations

14.

A nurse suspects a peer is diverting narcotics. What is the most appropriate first action?

a)

Confront the nurse privately

b)

Call the police

c)

Report to the nurse manager

d)

Ignore the situation

15.

What is a common defense mechanism in clients with substance use disorder?

a)

Regression

b)

Intellectualization

c)

Denial

d)

Projection