Substance Use Disorders: Assessment, Treatment, and Prevention

Question 1

The initial step in alcohol detoxification involves:

Accepted Answer

Intravenous fluid administration

Answer

Withdrawal symptom management medications

Answer

Cognitive-behavioral therapy

Answer

Peer support group participation

Question 2

Which counseling method focuses on building coping skills and relapse prevention strategies?

Accepted Answer

Cognitive-behavioral therapy

Answer

Motivational interviewing

Answer

Family therapy

Answer

Psychoanalysis

Question 3

The initial step in the treatment of substance use disorder is:

Accepted Answer

Detoxification

Answer

Cognitive behavioral therapy

Answer

Medication

Answer

Support groups

Question 4

The preferred treatment approach for individuals with co-occurring substance use disorder and mental health disorders is:

Accepted Answer

Integrated treatment

Answer

Sequential treatment

Answer

Parallel treatment

Answer

No specific treatment recommendations

Question 5

Which of the following is NOT a characteristic of substance use disorders, as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)?

Accepted Answer

Increased cognitive functioning

Answer

Impaired control over substance use

Answer

Continued use despite negative consequences

Answer

Tolerance and/or withdrawal

Question 6

The most prevalent type of substance use disorder in the United States, affecting approximately 14.5 million adults, is:

Accepted Answer

Alcohol use disorder

Answer

Cannabis use disorder

Answer

Opioid use disorder

Answer

Cocaine use disorder

Question 7

Which of the following is a common physical sign of opioid withdrawal?

Accepted Answer

Tremors

Answer

Dilated pupils

Answer

Increased body temperature

Answer

Euphoria

Question 8

Which of the following is a core principle of motivational interviewing?

Accepted Answer

Active listening without judgment

Answer

Emphasizing confrontation

Answer

Providing unsolicited advice

Answer

Setting ultimatums

Question 9

Which of the following medications is commonly used in the treatment of alcohol withdrawal to prevent seizures and delirium tremens?

Accepted Answer

Benzodiazepines

Answer

Naltrexone

Answer

Methadone

Answer

Buprenorphine

Question 10

A patient with a history of substance use disorder is experiencing intense cravings. The nurse's most appropriate response would be to:

Accepted Answer

Suggest distraction techniques to manage the cravings

Answer

Dismiss the cravings as a minor inconvenience

Answer

Encourage the patient to confront their cravings directly

Answer

Immediately administer medication to suppress the cravings

Question 11

According to the DSM-5, which of the following is NOT a criterion for diagnosing a substance use disorder?

Accepted Answer

Occasional cravings for the substance

Answer

Repetitive use leading to failure to meet major responsibilities at work, school, or home

Answer

Tolerance, withdrawal, or both

Answer

Using larger amounts or for longer periods than intended

Question 12

Which of the following is typically a sign of alcohol withdrawal?

Accepted Answer

Tremors and anxiety

Answer

Delusions and seizures

Answer

Hypomania and mood swings

Answer

Bradycardia and hypotension

Question 13

Which of the following client statements indicates a high risk of relapse?

Accepted Answer

I'm not sure if I can stay sober without support.

Answer

I'm feeling confident in my recovery.

Answer

I've been managing stress well without using substances.

Answer

I've been craving substances but I'm resisting the urge.

Question 14

What is the primary purpose of harm reduction strategies in substance use disorders?

Accepted Answer

To minimize the negative consequences of substance use

Answer

To support individuals in achieving abstinence

Answer

To replace substance use with healthier behaviors

Answer

To prevent the development of substance use disorders

Question 15

Which of the following is a common co-occurring disorder among individuals with substance use disorders?

Accepted Answer

Anxiety Disorder

Answer

Glaucoma

Answer

Diabetes

Answer

Arthritis

Question 16

Which of the following medications is recommended for maintenance treatment of opioid use disorder to reduce the risk of relapse and overdose?

Accepted Answer

Methadone

Answer

Naltrexone

Answer

Clonidine

Answer

Diazepam

Question 17

Which neurotransmitter system is primarily affected by alcohol consumption?

Accepted Answer

GABA

Answer

Serotonin

Answer

Dopamine

Answer

Glutamate

Question 18

Which type of therapy aims to explore and resolve unconscious conflicts that may contribute to substance use?

Accepted Answer

Psychoanalysis

Answer

Motivational interviewing

Answer

Cognitive behavioral therapy

Answer

Family therapy

Question 19

Which ethical principle requires healthcare professionals to maintain client confidentiality?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Justice

Answer

Non-maleficence

Question 20

What is the primary responsibility of a nurse providing care to individuals with substance use disorders?

Accepted Answer

Providing education and emotional support

Answer

Administering prescribed medications

Answer

Conducting comprehensive assessments

Answer

Enforcing strict abstinence

Question 21

Which of the following is NOT a typical sign or symptom of alcohol use disorder?

Accepted Answer

Consistent increase in appetite

Answer

Development of tolerance

Answer

Experiencing withdrawal symptoms

Answer

Presence of alcohol-related medical problems

Question 22

What is the primary goal of relapse prevention in substance use disorders?

Accepted Answer

To minimize the frequency and severity of substance use

Answer

To achieve and maintain complete abstinence

Question 23

What is considered the most effective initial approach to screening for substance use disorders?

Accepted Answer

Utilizing a validated screening tool

Answer

Directly asking about substance use

Answer

Observing for physical and behavioral signs

Answer

Waiting for the patient to initiate the conversation

Question 24

What is the cornerstone of motivational interviewing in substance use disorder treatment?

Accepted Answer

Empathy and understanding

Answer

Confrontation and challenge

Answer

Providing advice and direction

Answer

Exploring resistance and ambivalence

Question 25

According to the DSM-5, which of the following criteria is NOT used to diagnose a substance use disorder?

Accepted Answer

Genetic predisposition

Answer

Impaired control over substance use

Answer

Social impairment resulting in failure to fulfill major obligations

Answer

Development of tolerance

Question 26

What is the primary goal of the Motivational Interviewing approach in substance use treatment?

Accepted Answer

To help the patient explore and resolve ambivalence about changing their behavior

Answer

To confront the patient about their substance use

Answer

To provide education about the harmful effects of substance use

Answer

To prescribe medication to reduce cravings

Question 27

Which of the following is NOT a risk factor for developing a substance use disorder?

Accepted Answer

Resilience and coping skills

Answer

Family history of addiction

Answer

Childhood trauma

Answer

Peer pressure

Question 28

What is the main purpose of a relapse prevention plan in substance use treatment?

Accepted Answer

To identify and address triggers that may lead to relapse

Answer

To prevent the individual from ever using substances again

Answer

To provide a structured environment for the individual

Answer

To monitor the individual's substance use

Question 29

What is the term for the physical and psychological symptoms that occur when a person stops using a substance after prolonged use?

Accepted Answer

Withdrawal

Answer

Tolerance

Answer

Dependence

Answer

Overdose

Question 30

Which of the following is an example of a harm reduction strategy for substance use?

Accepted Answer

Providing clean needles to injection drug users

Answer

Promoting abstinence from all substances

Answer

Enforcing strict drug laws

Answer

Punishing individuals for substance use

Question 31

Which ethical principle guides nurses to respect the autonomy of patients with substance use disorders?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Non-maleficence

Answer

Justice

Question 32

Within the context of treating substance use disorders, what is the primary goal of motivational interviewing?

Accepted Answer

Guiding the patient in exploring and addressing their ambivalence towards change

Answer

Directly confronting the patient regarding their substance use

Answer

Educating the patient about substance use and its potential consequences

Answer

Creating a structured treatment plan for the patient to adhere to

Question 33

In the nursing assessment of a patient suspected of having a substance use disorder, what is the initial and most crucial step?

Accepted Answer

Conducting a thorough history

Answer

Performing a comprehensive physical examination

Answer

Ordering laboratory tests

Answer

Administering a mental status examination

Question 34

Which of the following may indicate that a patient with a substance use disorder is experiencing relapse?

Accepted Answer

Any combination of the aforementioned signs

Answer

Increased frequency and intensity of substance use

Answer

Negative shifts in mood and behavior

Answer

Withdrawal symptoms

Question 35

Within the context of relapse prevention for substance use disorders, what is the primary role of the nurse?

Accepted Answer

Encompassing all of the aforementioned responsibilities

Answer

Providing education and ongoing support

Answer

Developing a personalized relapse prevention plan

Answer

Monitoring for potential signs of relapse

Question 36

Which of the following is commonly identified as a barrier to seeking treatment for substance use disorders?

Accepted Answer

Any combination of the aforementioned barriers

Answer

Stigma associated with substance use

Answer

Denial of the problem

Answer

Lack of access to affordable treatment

Question 37

How do motivational incentives contribute to improved engagement and outcomes in substance use disorder treatment?

Accepted Answer

Rewards for abstinence or positive behaviors

Answer

Punishments for substance use or negative behaviors

Answer

Effective only in early treatment stages

Answer

Not recommended as a treatment approach

Question 38

Which of the following is NOT a diagnostic criterion for substance use disorder according to DSM-5?

Accepted Answer

Improved occupational functioning

Answer

Withdrawal symptoms

Answer

Recurrent use in situations where it is physically hazardous

Answer

Tolerance

Question 39

The most common withdrawal symptom from alcohol is:

Accepted Answer

Tremors

Answer

Hallucinations

Answer

Hyperthermia

Answer

Anxiety

Question 40

Which of the following is a medication used in the pharmacological treatment of opioid use disorder?

Accepted Answer

Buprenorphine

Answer

Aripiprazole

Answer

Lamotrigine

Answer

Fluoxetine

Question 41

Which of the following is a cognitive-behavioral therapy technique commonly used in relapse prevention?

Accepted Answer

Cognitive restructuring

Answer

Exposure and response prevention

Answer

Dialectical behavior therapy

Answer

Client-centered therapy

Question 42

Which of the following is a risk factor for developing a substance use disorder?

Accepted Answer

Childhood trauma

Answer

Regular exercise

Answer

High socioeconomic status

Answer

Strong social support

Question 43

The primary goal of harm reduction in substance use treatment is to:

Accepted Answer

Minimize the adverse consequences of substance use

Answer

Promote moral development

Answer

Achieve complete abstinence

Answer

Enhance self-esteem

Question 44

Which of the following is a primary diagnostic criterion for substance use disorder according to the DSM-5?

Accepted Answer

Impaired control over substance use

Answer

Experimentation with various substances

Answer

Social use of substances in moderation

Question 45

What is the essential first step in the motivational interviewing approach to treating substance use disorders?

Accepted Answer

Building rapport and trust with the patient

Answer

Setting concrete treatment goals for the patient

Answer

Educating the patient about the harmful effects of substance use

Answer

Confronting the patient about their substance use patterns

Question 46

What is the primary goal of relapse prevention therapy in the context of substance use disorders?

Accepted Answer

To equip patients with coping skills to maintain sobriety

Answer

To eliminate cravings for substances entirely

Answer

To identify all potential triggers that could lead to substance use

Question 47

In pharmacology, what term describes a substance that diminishes or blocks the effects of another substance?

Accepted Answer

Antagonist

Answer

Inverse agonist

Answer

Agonist

Answer

Partial agonist

Question 48

Which of the following factors is known to increase the risk of developing a substance use disorder?

Accepted Answer

Family history of addiction

Answer

High levels of academic achievement

Answer

Strong and supportive social networks

Answer

High socioeconomic status and financial stability

Question 49

Addictive substances primarily affect which neurotransmitter in the brain?

Accepted Answer

Dopamine

Answer

Serotonin

Answer

GABA

Answer

Norepinephrine

Question 50

Which of the following is a potential long-term consequence of chronic substance use?

Accepted Answer

Liver damage

Answer

Enhanced cognitive abilities and memory

Answer

Improved cardiovascular function

Answer

Reduced risk of developing chronic diseases