Psychiatric Mental Health Nursing 5th Edition By Fortinash
Psychiatric Mental Health Nursing 5th Edition By Fortinash
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Chapter 15: Substance-Related Disorders and Addictive Behaviors
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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
| 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
| 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
| 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
| 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
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