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University revision · Mental Health and Psychiatric Nursing

Drug Abuse

Question 1 of 8 Course: Nursing(Degree)
Q1
The mother of a 16-year-old boy noticed a change in her son's behavior. When he returned home in the evening after meeting with his friends, he was always very angry, despite having eaten his dinner. He always appeared happy, would feel everything amazing, and laughed a lot. Occasionally, his eyes would be rather red. In the morning he was reluctant to go to school and did not appear to care whether he did well or not. A drug with which of the following mechanisms of action was he most likely thinking?
Choose an answer, then submit to see the explanation.

About this topic

This topic covers common substance abuse issues in Zambia, including shabu, marijuana, and inhalants. Nursing students learn assessment, care planning, and interventions to prevent complications. 25schools provides exam-oriented questions and practical scenarios to prepare students for exams and clinical practice. Mastery ensures safe and effective management of patients with drug abuse issues.

What you'll practise (8 questions)

  1. A 28-year-old man presented with elevated mood, vivid speech, muscle twitching, and dilated pupils. He kept on scratching himself repeatedly because he stated that 'beguine crawling under my skin.' Vital signs were blood pressure 170/105, heart rate 120 bpm, respiration 20 min. After a short time, stereotyped behavior developed accompanied by panicked delusions, but the man remained oriented and alert. Which of the following drugs most likely caused the patient's syndrome?
  2. The mother of a 16-year-old boy noticed a change in her son's behavior. When he returned home in the evening after meeting with his friends, he was always very angry, despite having eaten his dinner. He always appeared happy, would feel everything amazing, and laughed a lot. Occasionally, his eyes would be rather red. In the morning he was reluctant to go to school and did not appear to care whether he did well or not. A drug with which of the following mechanisms of action was he most likely thinking?
  3. As 18-year-old girl who had never used recreational drugs joined in sneaking multiple marijuana cigarettes at a party. Which of the following signs and symptoms did the girl most likely experience just after smoking?
  4. A 22-year-old man complaining of muscle aches, nausea, and anxiety, reported that he was a heroin addict and that he had been smoking phencyclidine occasionally for the past 6 months. He was sweating, hypersensitizing, hyperthermic, high blood pressure, and tachycardia. His pupils were dilated. Which of the following types of drugs would be most appropriate to provide immediate relief to this patient?
  5. A 17-year-old girl who had never used drugs decided to join in what her friends who were sneaking drugged cigarettes. In the first 5 minutes, she experienced euphoria, uncontrollable laughter, depersonalization, and shattered vision. Her concentration became difficult, and she noticed that her heart was 'pounding.' Her friends noted reddening of her conjunctiva but no change in pupil diameter. After the following drugs most likely caused the girl's symptoms?
  6. A 28-year-old polydrug user self-injected a drug approximately 45 minutes prior to admission. Vital signs were blood pressure 100/50, heart rate 95 bpm, respirations 5/min. Physical examination showed cyanosis and pitopoint pupils. Which of the following drugs did the woman most likely take?
  7. A 41-year-old man decided to stop smoking cigarettes and asked his family physician about a possible withdrawal syndrome. He had been smoking two packs of cigarettes daily for 24 years. Which of the following are the withdrawal symptoms the man was most likely to experience?
  8. Substance use disorders are voluntary choices

Answer each question above to see the correct answer and a full explanation.