Chapter 35: Care of the Patient with an Addictive Personality

Chapter 35: Care of the Patient with an Addictive Personality

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete?

a.	Cardiac problems
b.	Respiratory problems
c.	Withdrawal problems
d.	Circulatory problems

 

 

ANS:  C

Diaphoresis, tremors, and hypertension are all symptoms of withdrawal from alcohol consumption. The nurse, concerned about the patient’s medical condition, may not consider substance abuse until withdrawal symptoms appear.

 

DIF:    Cognitive Level: Analysis                REF:   Page 1161      OBJ:   4

TOP:   Addiction       KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

2. What age of onset of alcohol consumption is most predictive of alcohol addiction?

a.	8 or younger
b.	10 or younger
c.	12 or younger
d.	14 or younger

 

 

ANS:  D

Forty-four percent of those who start drinking at the age of 14 or younger will develop alcoholism.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 1158      OBJ:   4

TOP:   Alcoholism     KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

3. Alcohol is involved in motor vehicle accidents, suicides, and homicides. Approximately how many deaths each year are related to alcohol consumption?

a.	50,000
b.	70,000
c.	80,000
d.	100,000

 

 

ANS:  D

About 100,000 deaths each year are related to alcohol consumption.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 1159      OBJ:   4

TOP:   Alcoholism     KEY:  Nursing Process Step: N/A              MSC:  NCLEX: N/A

 

4. What stage of dependence is described by a patient when he tells the nurse that he has tried to stop his drug habit, but he does not feel “normal” without it?

a.	Early
b.	Prodromal
c.	Middle
d.	Late

 

 

ANS:  C

In the middle stage, the user shows signs of withdrawal with abstinence and must use the drug to feel normal.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 1160      OBJ:   2

TOP:   Addiction       KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Psychosocial Integrity