Chapter 17: Substance Use and Addictive Disorders

Chapter 17: Substance Use and Addictive Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Poor impulse control, rapid speech, and hypertension are most characteristic of abusing which substance?

A.	Alcohol
B.	Heroin
C.	Cocaine
D.	LSD

 

 

____     2.   A new patient with a history of alcoholism is in the ER with agitation, vomiting, and tremors. He tells you he had his last drink 24 hours ago. Which medication would most likely be ordered?

A.	Chlordiazepoxide
B.	Disulfiram
C.	Chlorpromazine
D.	Naloxone hydrochloride

 

 

____     3.   Your patient has a long history of alcohol abuse. You know that denial is a frequently used defense mechanism. Which statement is indicative of denial?

A.	“My father was a drinker so I guess that led me to this.”
B.	“I can stop anytime I want, I just don’t feel like it now.”
C.	“Drinking calms my nerves.”
D.	“I drink when my kids upset me.”

 

 

____     4.   Which of the following statements from an alcoholic patient reflects a good understanding of his or her condition?

A.	“I will stick to wine or beer from now on.”
B.	“I’ll be OK if my wife will just stop nagging me.”
C.	“I plan to take my sobriety 1 day at a time.”
D.	“I won’t need AA after I am sober for 1 year.”

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  C

These three symptoms are common with a stimulant such as cocaine. They could occur with the other substances but are not the hallmark symptoms.

 

PTS:   1

REF:   Chapter 17: Substance Use and Addictive Disorders; Table 17-3, Comparing Commonly Abused Substances; page 272

KEY:  Integrated Processes: Nursing Process: Assessment | Content Area: Substance Abuse | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Chemical and other dependencies

 

2. ANS:  A

This medication is often initially used to treat alcohol withdrawal symptoms. Response B is a treatment for alcoholism not withdrawal. Response C is an antipsychotic and response D is used in opioid addiction.

 

PTS:   1

REF:   Chapter 17: Substance Use and Addictive Disorders; Table 17-2, Commonly Used Medications for Withdrawal Management; page 270

KEY:  Integrated Processes: Nursing Process: Assessment | Content Area: Substance Abuse | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Chemical and other dependencies

 

3. ANS:  B

This response indicates the person is minimizing or not acknowledging that he or she has a problem. In the other responses the patient is acknowledging drinking but rationalizing the causes.

 

PTS:   1

REF:   Chapter 17: Substance Use and Addictive Disorders; Table 17-4, Common Coping Styles of Substance Abusers; page 279

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Substance Abuse | Cognitive Level: Application | Client Need: Psychosocial Integrity: Coping mechanisms

 

4. ANS:  C

Responses A, B, and D all reinforce use of ineffective defense mechanisms, including denial, rationalization, and minimization. Response C reflects understanding of the disease as a lifelong struggle.

 

PTS:   1

REF:   Chapter 17: Substance Use and Addictive Disorders; Table 17-4, Common Coping Styles of Substance Abusers; page 279

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Substance Abuse | Cognitive Level: Application | Client Need: Psychosocial Integrity: Mental health concepts