Chapter 12: Addictive Behaviors

Chapter 12: Addictive Behaviors

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. When assessing a patient who has a history of alcohol abuse, the nurse will plan to assess
for
a. low blood pressure.
b. decreased heart rate.
c. elevated temperature.
d. abdominal tenderness.
ANS: D
Abdominal pain associated with gastrointestinal tract and liver dysfunction is common in
patients with chronic alcohol use. The other problems are not associated with alcohol
abuse.
DIF: Cognitive Level: Application REF: 175
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
2. A patient who smokes a pack of cigarettes daily is admitted to the hospital for surgery.
When planning postoperative care, the nurse should include measures to
a. improve sleep.
b. enhance appetite.
c. decrease diarrhea.
d. prevent sore throat.
ANS: A
Insomnia is a characteristic of nicotine withdrawal. Diarrhea, sore throat, and anorexia
are not symptoms associated with nicotine withdrawal.
DIF: Cognitive Level: Application REF: 169 TOP: Nursing Process:
Planning
MSC: NCLEX: Physiological Integrity
3. A new 21-year-old patient who is scheduled for an annual physical examination arrives in
the clinic smelling of cigarette smoke and carrying a pack of cigarettes. Which action will
the nurse plan to take?
a. Urge the patient to quit smoking as soon as possible.
b. Avoid confronting the patient about smoking at this time.
c. Wait for the patient to start the discussion about quitting smoking.
d. Explain that the “cold turkey” method is most effective in stopping smoking.
ANS: A
Test Bank 12-2
Current national guidelines indicate that health care professionals should urge patients
who smoke to quit smoking at every encounter. The other actions will not help decrease
the patient’s health risks related to smoking.
DIF: Cognitive Level: Application REF: 170-172 TOP: Nursing Process:
Planning
MSC: NCLEX: Health Promotion and Maintenance
4. A patient admitted to the hospital after an automobile accident has a blood alcohol
concentration (BAC) of 220 mg/dl (0.22 mg%). The patient is alert and does not appear
highly intoxicated. An appropriate nursing action is to
a. maintain the patient on NPO status.
b. avoid the use of intravenous (IV) fluids.
c. administer acetaminophen for headache.
d. monitor frequently for anxiety, hyperreflexia, and sweating.
ANS: D
The patient’s assessment data indicate physiologic dependence on alcohol, and the patient
is likely to develop acute withdrawal such as anxiety, hyperreflexia, and sweating, which
could be life-threatening. Acetaminophen is not recommended because it is metabolized
by the liver. IV thiamine and IV glucose solutions usually are given to intoxicated
patients to prevent Wernicke’s encephalopathy, and there is no indication that the patient
should be NPO.
DIF: Cognitive Level: Application REF: 174
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity