Chapter 47: Care of Patients with Substance Abuse Disorders

Chapter 47: 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 the defense mechanism of:

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.

DIF:    Cognitive Level: Application           REF:   1066              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 the defense mechanism of:

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.

DIF:    Cognitive Level: Application           REF:   1066              OBJ:   5 (theory)

TOP:   Family Reaction to Substance Abuse: Rationalization

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

3. The nurse explains the difference between an enabler and a co-dependent is that a co-dependent:

ANS:  A

The co-dependent “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.

DIF:    Cognitive Level: Application           REF:   1067-1068      OBJ:   5 (theory)

TOP:   Co-dependent vs. Enabler                KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity

4. The nurse explains that, no matter whether you drink a 12-ounce beer, a 6-ounce glass of wine, or 1.5 ounces of straight liquor, it takes approximately _____ minutes for the body to metabolize it.

ANS:  D

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

DIF:    Cognitive Level: Comprehension     REF:   1068              OBJ:   3 (theory)

TOP:   Alcohol: Metabolization Time          KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

5. A person in jail for public intoxication has been without alcohol for 12 hours. The jail nurse would be alert for withdrawal signs of:

ANS:  A

Marked irritability is the early sign (6 to 12 hours after last drink) of alcohol withdrawal.

DIF:    Cognitive Level: Comprehension     REF:   1068              OBJ:   6 (theory)

TOP:   Alcohol Withdrawal: Signs              KEY:  Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation