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Nursing A Concept Based Approach to Learning Volume II 2nd Ed
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,Nursing: A Concept-Based Approach to Learning, 2e (Pearson)Module 22 Addiction
The Concept of Addiction
1) While practicing at an outpatient addiction clinic, the nurse is summarizing a diagram in the
orientation handbook for a new associate she is precepting. Which statement most closely aligns
with the meaning of this diagram?
A) Addiction involves an alteration in the amount of available neurotransmitters.
B) Actions at the neurotransmitter level affecting addiction are not genetic.
C) High self-esteem as a basis for pleasure seeking lowers neurotransmitter levels.
D) An addictive personality is identified by differences in the processing of neurotransmitters.
Answer: A
Explanation: A) Substances of addiction alter the amount of available neurotransmitters,
including dopamine, serotonin, and norepinephrine. Several genes have been identified that seem
to influence the risk for alcohol dependence. Low self-esteem increases the risk for addiction. No
addictive personality type has been identified.
B) Substances of addiction alter the amount of available neurotransmitters, including dopamine,
serotonin, and norepinephrine. Several genes have been identified that seem to influence the risk
for alcohol dependence. Low self-esteem increases the risk for addiction. No addictive
personality type has been identified.
C) Substances of addiction alter the amount of available neurotransmitters, including dopamine,
serotonin, and norepinephrine. Several genes have been identified that seem to influence the risk
for alcohol dependence. Low self-esteem increases the risk for addiction. No addictive
personality type has been identified.
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Copyright © 2015 Pearson Education, Inc.
,D) Substances of addiction alter the amount of available neurotransmitters, including dopamine,
serotonin, and norepinephrine. Several genes have been identified that seem to influence the risk
for alcohol dependence. Low self-esteem increases the risk for addiction. No addictive
personality type has been identified.
Page Ref: 1520
Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing Process: Assessment
Learning Outcome: 1. Summarize the physiological and psychological processes that contribute
to addiction.
2) During a class for college seniors, a participant admits to frequently using alcohol. What is the
priority action of the nurse?
A) Initiate a community assessment of the campus.
B) Contact the campus nurse and refer the student.
C) Notify campus security to watch for driving under the influence.
D) Complete a crisis assessment.
Answer: D
Explanation: A) In a trusting relationship, the nurse will complete a crisis assessment to
determine the appropriate action. Contacting the campus nurse is not advised without the
student's permission. There is no evidence that the student is driving under the influence.
B) In a trusting relationship, the nurse will complete a crisis assessment to determine the
appropriate action. Contacting the campus nurse is not advised without the student's permission.
There is no evidence that the student is driving under the influence.
C) In a trusting relationship, the nurse will complete a crisis assessment to determine the
appropriate action. Contacting the campus nurse is not advised without the student's permission.
There is no evidence that the student is driving under the influence.
D) In a trusting relationship, the nurse will complete a crisis assessment to determine the
appropriate action. Contacting the campus nurse is not advised without the student's permission.
There is no evidence that the student is driving under the influence.
Page Ref: 1527
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Nursing Process: Implementation
Learning Outcome: 4. Differentiate assessments of addictions across the life span.
2
Copyright © 2015 Pearson Education, Inc.
, 3) A nursing instructor is teaching her students about the comprehensive theory of addiction by
George Engel. Which statement or statements indicate that the student understands the theory?
Select all that apply.
A) "Addiction occurs due to a lack of emotional attachment."
B) "There is a biological factor involved in the development of addiction."
C) "There are social factors that contribute to the development of addiction."
D) "There is a moral factor involved in the development of addiction."
E) "There is a psychological factor involved in the development of addiction."
Answer: B, C, E
Explanation: A) The biopsychosocial explanation of addiction is supported by current research
and takes a more holistic view of the problem. The biopsychosocial explanation links biological,
psychological, and social factors as contributing to the development of addiction. The view of
addiction as a moral disease is nontherapeutic. Viewing addiction as only a behavioral or
emotional problem oversimplifies a complex issue.
B) The biopsychosocial explanation of addiction is supported by current research and takes a
more holistic view of the problem. The biopsychosocial explanation links biological,
psychological, and social factors as contributing to the development of addiction. The view of
addiction as a moral disease is nontherapeutic. Viewing addiction as only a behavioral or
emotional problem oversimplifies a complex issue.
C) The biopsychosocial explanation of addiction is supported by current research and takes a
more holistic view of the problem. The biopsychosocial explanation links biological,
psychological, and social factors as contributing to the development of addiction. The view of
addiction as a moral disease is nontherapeutic. Viewing addiction as only a behavioral or
emotional problem oversimplifies a complex issue.
D) The biopsychosocial explanation of addiction is supported by current research and takes a
more holistic view of the problem. The biopsychosocial explanation links biological,
psychological, and social factors as contributing to the development of addiction. The view of
addiction as a moral disease is nontherapeutic. Viewing addiction as only a behavioral or
emotional problem oversimplifies a complex issue.
E) The biopsychosocial explanation of addiction is supported by current research and takes a
more holistic view of the problem. The biopsychosocial explanation links biological,
psychological, and social factors as contributing to the development of addiction. The view of
addiction as a moral disease is nontherapeutic. Viewing addiction as only a behavioral or
emotional problem oversimplifies a complex issue.
Page Ref: 1520
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Nursing Process: Implementation
Learning Outcome: 1. Summarize the physiological and psychological processes that contribute
to addiction.
3
Copyright © 2015 Pearson Education, Inc.
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