A 14-year-old boy is brought to the ED by the police after the boy assaulted a passerby. The patient is slurring his speech and appears unsteady.

Primary Care of the Psychiatric Mental Health Client II

A 14-year-old boy is brought to the ED by the police after the boy assaulted a passerby. The patient is slurring his speech and appears unsteady. On physical exam, he is found to have nystagmus, generalized muscle weakness, and depressed reflexes. He is sluggish and complains that he is seeing double. Which substance is most likely causing his intoxication syndrome?

 

Select one:

 

a.Inhalants

 

b.Stimulants

 

c.Alcohol

 

d.Amphetamines

 

e.Hallucinogens

 

Question 2

 

A key indicator of addiction that can be applied when assessing a client for substance use is ________.

 

Select one:

 

a.calling in sick every Monday morning

 

b.loss of control over frequency or amount of use

 

c.bragging about the amount of alcohol consumed

 

d.having withdrawal symptoms when use is stopped

 

e.None of the answers is .

 

Question 3A PMHNP notices that few substance abuse treatment programs apply evidence-based practice. The PMHNP wants to initiate such a treatment program to ________.

 

Select one:

 

a.implement the use of valid instruments

 

b.improve outcomes through analysis and synthesis of evidence

 

c.maximize interventions and increase skill utilization

 

d.optimize revenue-generating potential

 

Question 4A screening tool developed specifically to screen adolescents for high risk alcohol and other drug use is ________.

 

Select one:

 

a.PACES

 

b.HEEADSSS

 

c.CRAFFT

 

d.M-CHAT

 

e.None of the answers is .

 

Question 5Although your client denies any significant drug use, he comes to his appointment today with symptoms of nausea, muscle cramping, agitation, and anxiety. Your first thought, given his history of substance abuse, is ________.

 

Select one:

 

a.opiate addiction

 

b.marijuana intoxication

 

c.alcohol intoxication

 

d.opiate withdrawal

 

Question 6It is known that high levels of alcohol consumption ________.

 

Select one:

 

a.exacerbate psychiatric symptoms

 

b.help reduce intrusive memories and provide immediate protection

 

c.neither promote nor reduce psychiatric symptoms

 

d.always cause alcohol dependency

 

Question 7Motivational interviewing (MI) is a therapy technique commonly used with persons who abuse substances. One of the MI pitfalls is the “righting reflex.” Which statement best describes this concept?

 

Select one:

 

a.The nurse’s urge to  another person’s course of action is usually right.

 

b. People who go into the helping professions have a powerful desire to set things right.

 

c.When we notice someone going down the wrong path, we are usually right.

 

d.Being right in knowing what to do is usually the job of the therapist.

 

Question 8The common pathway of reinforcement and reward that is believed to be involved in substance related disorders is the ________.

 

Select one:

 

a.mesocortical dopamine pathway

 

b.mesolimbic dopamine pathway

 

c.tuberoinfundibular dopamine pathway

 

d.nigrostriatal dopamine pathway

 

Question 9Which medication has been FDA approved for treating both alcohol and opiate addiction?

 

Select one:

 

a.Verenicline (Chantax)

 

b.Wellbutrin (Bupropion)

 

c.Naltrexone (Revia)

 

d.Buprenorphine (Suboxone)

 

Question 10Which of the following characteristics does not necessarily present in fetal alcohol syndrome?

 

Select one:

 

a.Heart defects

 

b.Facial dysmorphology

 

c.Growth retardation

 

d.Central nervous system dysfunction