Chapter 15: Substance-Related Disorders and Addictive Behaviors

Chapter 15: Substance-Related Disorders and Addictive Behaviors

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When asked, “What causes alcoholism?” the nurse’s response will be based on the fact that:

a.	The response to alcohol is a result of a brain-based disorder.
b.	Alcoholism is believed to be an allergic response to the alcohol.
c.	Every individual has the same susceptibility for developing alcoholism.
d.	It is a physical response to alcohol but it’s etiology is not fully understood.

 

ANS: A

It has been determined that alcoholism is not an allergy but rather it is recognized as a partial brain-based disorder that some brains are more susceptible to than others.

 

DIF:   Cognitive Level: Application        REF:  Page 323

TOP:  Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity

 

2. Which patient response would support the conclusion that the patient has moved into the ‘dark side’ of a narcotic addition?

a.	“I’ve been abusing drugs for at least 10 years.”
b.	“Drugs makes me feel good; that why I use them.”
c.	“I don’t like the way I feel when I don’t use drugs.”
d.	“Drugs are something that I can either take or leave”

 

ANS: C

During beginning use (the light side), the “feel good” effects are dominant. As the individual becomes habituated to the drug, tolerance and withdrawal symptoms develop; this constitutes the dark side. The remaining options do not describe effects of drug use.

 

DIF:   Cognitive Level: Application        REF:  Page 325

TOP:  Nursing Process: Assessment        MSC: NCLEX: Psychosocial Integrity

 

3. A substance use disorder (SUD) is a likely comorbid mental illness in which patient?

a.	The soldier diagnosed with posttraumatic stress disorder
b.	The teenager demonstrating symptoms of poor impulse control
c.	The older adult diagnosed with early stage Alzheimer’s disease
d.	The new mother exhibiting symptoms of postpartum depression

 

ANS: A

Posttraumatic stress disorder creates a risk for substance use or relapse. A total of 30% to 60% of persons with SUDs meet the criteria for comorbid posttraumatic stress disorder. The remaining options have not shown such a prevalence of comorbid relationship with SUDs.

 

DIF:   Cognitive Level: Application        REF:  Page 327

TOP:  Nursing Process: Assessment        MSC: NCLEX: Psychosocial Integrity

 

4. Which group would be the target population for educational material on the dangers of binge drinking?

a.	Full-time college students
b.	Blue-collared young adults
c.	Older widows and widowers
d.	High school juniors and seniors

 

ANS: A

The highest prevalence of binge and heavy drinking is among young adults between the ages of 18 and 25 years, with the majority being full-time college students.

 

DIF:   Cognitive Level: Application        REF:  Page 329        TOP:  Nursing Process: Planning

MSC: NCLEX: Physiological Integrity

 

5. Which social factor has the greatest impact on the changing nature of alcohol abuse treatment?

a.	Development of new pharmaceutical treatment options
b.	Dramatic increase of alcoholism among young adult males
c.	Raising cost of both inpatient and outpatient treatment programs
d.	Women’s substance abuse only recently acknowledge by society

 

ANS: D

The existence of an alcohol abuse problem among women has only been recently recognized and this has dramatically affected treatments and services being provided. Although the other options are true, they do not have the impact on treatment modalities as much as the correct option.

 

DIF:   Cognitive Level: Application        REF:  Page 330

TOP:  Nursing Process: Assessment        MSC: NCLEX: Psychosocial Integrity