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Chapter 06: Substance Use Assessment

Chapter 06: Substance Use Assessment

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Chapter 06: Substance Use Assessment
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1.   A woman has come to the clinic to seek help with a substance abuse problem. She admits to using cocaine just before arriving. Which of these assessment findings would the nurse expect to find when examining this woman?
a.

Dilated pupils, pacing, and psychomotor agitation

b.

Dilated pupils, unsteady gait, and aggressiveness

c.

Pupil constriction, lethargy, apathy, and dysphoria

d.

Constricted pupils, euphoria, and decreased temperature

2.   The nurse is assessing a patient who has been admitted for cirrhosis of the liver, secondary to chronic alcohol use. During the physical assessment, the nurse looks for cardiac problems that are associated with chronic use of alcohol, such as:
a.

Hypertension.

b.

Ventricular fibrillation.

c.

Bradycardia.

d.

Mitral valve prolapse.

3.   The nurse is conducting a class on alcohol and the effects of alcohol on the body. How many standard drinks (each containing 14 grams of alcohol) per day in men are associated with increased deaths from cirrhosis, cancers of the mouth, esophagus, and injuries?
a.

2

b.

4

c.

6

d.

8

 4.   During a session on substance abuse, the nurse is reviewing statistics with the class. For persons aged 12 years and older, which illicit substance was most commonly used?
a.

Crack cocaine

b.

Heroin

c.

Marijuana

d.

Hallucinogens

5.   A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit. She asks the nurse, “How many drinks a day is safe for my baby?” The nurse’s best response is:
a.

“You should limit your drinking to once or twice a week.”

b.

“It’s okay to have up to two glasses of wine a day.”

c.

“As long as you avoid getting drunk, you should be safe.”

d.

“No amount of alcohol has been determined to be safe during pregnancy.”


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