Chapter 46: Care of Patients with Substance Abuse Disorders

Chapter 46: Care of Patients with Substance Abuse Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The alcoholic patient says to the nurse, “I am not an alcoholic. I can quit any time I want to.” The nurse recognizes that the patient is using which defense mechanism?

a.	Repression
b.	Denial
c.	Rationalization
d.	Intellectualization

 

 

ANS:  B

Denial is ignoring reality in spite of hard evidence. Denial is a mechanism frequently used by substance abusers. Repression refers to unconsciously blocking an unwanted thought or memory from open expression. Rationalization attempts to justify a behavior or action by making an excuse or an explanation. Intellectualization is the excessive reasoning and logic to counter emotional distress.

 

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   1074

OBJ:   4 (theory)       TOP:   Alcoholism: Defense Mechanism

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Psychosocial Integrity: Coping and Adaptation

 

2. The wife of an alcoholic tells the nurse, “My husband only drinks on the weekends to relax. He has a very stressful job.” The nurse recognizes that the patient’s wife is using which defense mechanism?

a.	Repression
b.	Denial
c.	Rationalization
d.	Identification

 

 

ANS:  C

Rationalization is a justification for an unreasonable act to make it appear reasonable. Rationalization is used by many families to allay their own anxiety about the substance abuse of a family member. Repression refers to unconsciously blocking an unwanted thought or memory from open expression. Denial is ignoring reality in spite of hard evidence. Denial is a mechanism frequently used by substance abusers. Identification refers to modeling behaviors after another individual.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   1074

OBJ:   5 (theory)       TOP:   Family Reaction to Substance Abuse: Rationalization

KEY:  Nursing Process Step: Assessment   MSC:  NCLEX: Psychosocial Integrity

 

3. Which statement accurately explains the difference between an enabler and a co-dependent?

a.	A codependent covers up the substance abuser’s behavior.
b.	A codependent rationalizes the substance abuser’s behavior.
c.	An enabler uses the substance abuser’s behavior to build up his or her own self-esteem.
d.	An enabler is also a substance abuser.

 

 

ANS:  A

The codependent “fixes” things by overcompensating to prevent the abuser from facing reality. Enabling refers to “helping” a person so that the person’s consequences from unhealthy behavior are less severe; thus enabling “helps” the unhealthy behavior to continue.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   1075

OBJ:   5 (theory)       TOP:   Codependent vs. Enabler

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity

 

4. How long does it take the body to metabolize a single can of beer?

a.	20 minutes
b.	30 minutes
c.	40 minutes
d.	60 minutes

 

 

ANS:  D

The metabolization of any amount of alcohol takes approximately 1 hour.

 

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   1075

OBJ:   3 (theory)       TOP:   Alcohol: Metabolization Time

KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation