The client states, “I go out just about every weekend and drink pretty heavily with my friends. Does that mean I’m dependent on alcohol?” Which is the best response by the nurse?

The nurse suspects that a coworker is working while impaired. Which initial action should be taken by the nurse?

The client expresses ambivalence about quitting smoking and also the fear of“getting fat” and “looking like a cow.” The client wonders if that is worse than smoking. Which response by the nurse is most helpful?

The client undergoing a routine physical exam asks the nurse if taking the dietary supplement androstenedione, sometimes referred to as “andro,” would help to get in shape for football season. Which statement by the nurse is best?

The client with a history of poly substance abuse is being medically detoxified in an acute care hospital. The client reported recently using alcohol, oxycodone, crack cocaine, and marijuana. In planning for detoxification, which substance for detoxification should be the nurse’s priority?

The client in group therapy states, “I’ve enjoyed using methylphenidate because of how it makes me feel.” The nurse should identify which additional statement with methylphenidate use?

The client is receiving clonidine to relieve selected symptoms of opioid withdrawal. Which assessment is most important for the nurse to complete before administering clonidine?

The nurse is counseling the client with a substance abuse disorder. Which defense mechanism is the nurse most likely to observe the client using in response to a stressful event?

The nurse is educating the client on the methadone prescribed for replacement therapy while in an outpatient treatment program for heroin addicts. The client asks how taking a pill is going to help the client stay substance-free- Which statement is the nurse’s best reply?

The client has developed paranoia as a result of regular methamphetamine use. The nurse uses cognitive reappraisal to confront the client’s persecutory thoughts. Which question should the nurse ask the client?

The nurse is interacting with the client who abuses methamphetamine- The client states, “I don’t plan to quit meth. I can work for days when I’m high.” Which is the best response by the nurse?

The client uses methamphetamine regularly. Which subjective quote documented by the nurse demonstrates the client using pathological projection as a coping mechanism?

The client who is addicted to cocaine states, “I don’t really need treatment. Things just got a little out of hand, causing some problems. I can handle things on my own. I really need to get back to my business.” Which response by the nurse best assists the client to break through denial and get insight into the severity of the addiction?

The nurse completed an admission interview and assessment of the client who is under the influence of cocaine. Which finding should the nurse attribute to the client being under the influence of cocaine?

The parent expresses concern that her son, newly admitted to the mental health unit, may be using methamphetamine. Which nursing assessment findings are consistent with methamphetamine abuse?

The nurse is discharging the client from an inpatient treatment program for cocaine abuse. Which statement by the client indicates an accurate under- standing about the disease process of addiction?

The nurse is teaching home health aides about monitoring for alcohol abuse in older adults. Which response by a home health aide indicates a need for further teaching?

The client is hospitalized after sustaining a head injury and a fractured wrist from a fall. The client admits to drinking alcohol in moderation several times per week. Which assessment finding should the nurse associate with early alcohol withdrawal?

The female client tells the nurse, “I usually have a few drinks after work, but I always limit it to three. I’m not risking becoming addicted, am I?” What is the nurse’s best response?

The nurse is preparing to administer thiamine (vitamin B,) to the client receiving treatment for alcohol dependence. Which statement best describes the rationale for the use of thiamine?

The client often avoids talking about cocaine use by refocusing on other problems such as losing a job and family discord. Which is the most helpful response by the nurse when the client avoids discussing using cocaine?

The client receiving treatment for substance dependence has not been attending group therapy. Which response by the nurse to confront this behavior is best?

The client taking disulfiram has a throbbing headache, diaphoresis, and sudden vomiting. Which possible conclusions by the nurse should be explored first?

The spouse of the client who is currently in inpatient treatment for substance abuse tells the nurse, “We’ve done this so many times. I don’t think my spouse is ever going to change. Do you think it’s time for me to get a divorce?” Which response by the nurse is most helpful?

The nurse is in the working phase of a relationship with the client being treated for substance abuse. Which intervention would be appropriate during this phase of treatment?

The nurse is assessing the college student who presents with generalized fatigue, dry mouth, tachycardia, and an increased appetite. Which additional finding from the client’s history and physical exam should alert the nurse to explore possible marijuana abuse?

The client states, “I don’t see any problem with smoking a little weed. It isn’t addictive.” Which response by the nurse is most accurate?

The client is being discharged from treatment for addiction to alprazolam and will be attending an addiction self-help group. Which statement indicates that the client has an accurate understanding of maintaining sobriety according to l2-step self- help principles?

The nurse is teaching the client with a substance abuse disorder about l2—step self-help programs, such as AA. The nurse informs the client that the major principle associated with this l2-step program is what principle?

The nurse is preparing to care for the newly hospitalized client diagnosed with Korsakoff”s psychosis from alcohol abuse. Which intervention should the nurse plan to implement?

The l9-year old client regularly abuses dextromethorphan (DXM). Which activity, if performed under the influence of dextromethorphan, places the client at highest risk for complications related to DXM abuse?

The nurse educator is presenting a program on drug abuse to new nurses on the mental health unit. When explaining cocaine abuse, which street names for cocaine should the nurse include in the discussion?

The l9-year-old is given a court order to enter treatment for cocaine abuse. The client threatens to leave the treatment facility AMA. Which statement by the nurse demonstrates an accurate understanding of the client’s options?

The nurse is developing the answer key to a post test that will be given to participants following a workshop about caffeine abuse among older adult clients. Which statement about caffeine abuse should be excluded from the answer key?

The mother of the 14-year-old tells the clinic nurse that she is concerned that her child may be “doing some sort of drugs.” The adolescent is confused and has difficulty answering questions clearly but admits to sniffing solvents in the family’s garage. Which statement by the nurse is correct?

The nurse is conducting an admission history on the client being hospitalized with symptoms characteristic of schizophrenia. Which interview question demonstrates that the nurse can identify the most prevalent comorbid substance abuse issue for the client with schizophrenia?