Psychiatric Nursing, 7th Edition by Norman L. Keltner - Debbie Steele
Psychiatric Nursing, 7th Edition by Norman L. Keltner - Debbie Steele
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Chapter 31: Substance Abuse Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | tolerance. |
| b. | withdrawal. |
| c. | co-dependency. |
| d. | abstinence syndrome. |
ANS: A
Tolerance refers to the need for increasing amounts of a substance to achieve the same effects. The other terms are not related to needing more of a substance to achieve the same effect.
DIF: Cognitive level: Understanding REF: pp. 387-388
TOP: Nursing process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | a comatose period related to alcohol withdrawal. |
| b. | a comatose episode associated with alcohol intoxication and poisoning. |
| c. | a time period in which a person who has used alcohol is unresponsive to the environment. |
| d. | an episode in which a person under the influence of alcohol functions normally but later is unable to remember. |
ANS: D
A blackout is defined as a period of time in which a drinker functions socially but for which there is no memory. The distracters omit aspects of a blackout.
DIF: Cognitive level: Understanding REF: p. 388
TOP: Nursing process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Confabulation |
| b. | Hallucinosis |
| c. | Flashbacks |
| d. | Blackouts |
ANS: A
Confabulation is a symptom typically displayed by an individual with Wernicke-Korsakoff syndrome. The individual attempts to make up for memory loss by filling in the blanks with false memories. The other options are not symptoms of memory impairment associated with Wernicke-Korsakoff syndrome.
DIF: Cognitive level: Understanding REF: p. 389 TOP: Nursing process: Evaluation
MSC: NCLEX: Psychosocial Integrity
| a. | Skin rash, itching, and urticaria |
| b. | Pallor, hypotension, and muscle cramping |
| c. | Dry skin, bradycardia, fatigue, and headache |
| d. | Headache, dyspnea, nausea, vomiting, and flushing |
ANS: D
A disulfiram reaction consists of any combination of the following symptoms: flushing, sweating, rapid pulse, hypotension, throbbing headache, nausea, vomiting, palpitations, dyspnea, tremor, and weakness. The patient is acutely uncomfortable. The other options do not characterize the disulfiram–alcohol reaction.
DIF: Cognitive level: Analyzing REF: p. 400
TOP: Nursing process: Assessment MSC: NCLEX: Physiologic Integrity
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