Chapter 19: Addictions and Compulsions

Chapter 19: Addictions and Compulsions

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. An alcohol-dependent patient was hospitalized at 0200 today. When would the nurse expect withdrawal symptoms to peak?

ANS:  B

Alcohol withdrawal usually begins 6 to 8 hours after cessation or significant reduction of alcohol intake. It peaks between 24 and 48 hours, then resolves or progresses to delirium.

DIF:    Cognitive Level: Application           REF:   Pages: 336-367

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

2. A woman in the last trimester of pregnancy drinks 8 to 12 ounces of alcohol daily. The nurse plans for the delivery of an infant who is:

ANS:  D

Fetal alcohol syndrome is the result of alcohol’s inhibiting fetal development in the first trimester. The fetus of a woman who drinks that much alcohol will probably have this disorder. Alcohol use during pregnancy is not likely to produce the findings listed in the distracters.

DIF:    Cognitive Level: Application           REF:   Page: 363

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Health Promotion and Maintenance

3. A patient was admitted last night with a hip fracture sustained in a fall while intoxicated. The patient points to the Buck traction and screams, “Somebody tied me up with ropes.” The patient is experiencing:

ANS:  A

The patient is misinterpreting a sensory perception when seeing a noose instead of traction. Illusions are common in early withdrawal from alcohol. A delusion is a fixed, false belief. Hallucinations are sensory perceptions occurring in the absence of a stimulus. Hypnagogic phenomena are sensory disturbances that occur between waking and sleeping.

DIF:    Cognitive Level: Comprehension     REF:   Page: 367

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

4. A patient was admitted 48 hours ago for injuries sustained while intoxicated. The patient is shaky, irritable, anxious, and diaphoretic. The pulse rate is 130 beats per minute. The patient shouts, “Bugs are crawling on my bed. I’ve got to get out of here.” What is the most accurate assessment of the situation? The patient:

ANS:  C

Symptoms of agitation, elevated pulse, and perceptual distortions point to alcohol withdrawal delirium, a medical emergency. The findings are inconsistent with manipulative attempts, head injury, or functional psychosis.

DIF:    Cognitive Level: Application           REF:   Pages: 366-368

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