Chapter 36: Care of the Patient with an Addictive Personality

Chapter 36: 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, the nurse assesses for:

ANS:   C

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. The nurse recognizes that alcohol addiction is predicable if the age of onset is:

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. If the nurse’s assessment reveals low stress tolerance, negative self-image, and depression, the nurse concludes the patient is a(n):

ANS:   C

Common traits have been identified in people with addiction, including low stress tolerance and dependency; these individuals are grouped under the term addictive personality.

DIF:    Cognitive Level: Application             REF:    Page 1159       OBJ:    1

TOP:    Addiction       KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Psychosocial Integrity

5. The nurse counsels the “recreational” user that drugs that make the user feel good have the potential to become progressively addicting until the abuser exhibits:

ANS:   C

When substance abuse does become a problem, the indicator appears to be loss of control.

DIF:    Cognitive Level: Application             REF:    Page 1159       OBJ:    2

TOP:    Addiction       KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity