Chapter 35: Care of the Patient with an Addictive Personality

Chapter 35: Care of the Patient with an Addictive Personality

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete?

ANS:  C

Diaphoresis, tremors, and hypertension are all symptoms of withdrawal from alcohol consumption. The nurse, concerned about the patient’s medical condition, may not consider substance abuse until withdrawal symptoms appear.

DIF:    Cognitive Level: Analysis                REF:   Page 1161      OBJ:   4

TOP:   Addiction       KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

2. What age of onset of alcohol consumption is most predictive of alcohol addiction?

ANS:  D

Forty-four percent of those who start drinking at the age of 14 or younger will develop alcoholism.

DIF:    Cognitive Level: Comprehension     REF:   Page 1158      OBJ:   4

TOP:   Alcoholism     KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

3. Alcohol is involved in motor vehicle accidents, suicides, and homicides. Approximately how many deaths each year are related to alcohol consumption?

ANS:  D

About 100,000 deaths each year are related to alcohol consumption.

DIF:    Cognitive Level: Knowledge            REF:   Page 1159      OBJ:   4

TOP:   Alcoholism     KEY:  Nursing Process Step: N/A              MSC:  NCLEX: N/A

4. What stage of dependence is described by a patient when he tells the nurse that he has tried to stop his drug habit, but he does not feel “normal” without it?

ANS:  C

In the middle stage, the user shows signs of withdrawal with abstinence and must use the drug to feel normal.

DIF:    Cognitive Level: Comprehension     REF:   Page 1160      OBJ:   2

TOP:   Addiction       KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Psychosocial Integrity