Exam (elaborations)
Chapter 35 Care of the Patient with an Addictive Personality
- Course
- Nursing
- Institution
- Western Piedmont Community College
Chapter 35 Care of the Patient with an Addictive Personality
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Chapter 35: Care of the Patient with an Addictive PersonalityMULTIPLE 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?
a. Cardiac problems
b. Respiratory problems
c. Withdrawal problems
d. Circulatory problems
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.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1148
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?
a. 8 or younger
b. 10 or younger
c. 12 or younger
d. 14 or younger
ANS: D
Forty-four percent of those who start drinking at the age of 14 or younger will develop
alcoholism.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1145
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?
a. 50,000
b. 70,000
c. 80,000
d. 100,000
ANS: D
About 100,000 deaths each year are related to alcohol consumption.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1146
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?
a. Early
b. Prodromal
c. Middle
d. Late
ANS: C
In the middle stage, the user shows signs of withdrawal with abstinence and must use the drug
to feel normal.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1147
OBJ: 2 TOP: Addiction KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
5. What must a patient in the late stages of dependence do in order to recover?
a. Gain insight into the addiction
b. Receive treatment for substance abuse
c. Pledge to lead a completely different lifestyle
d. Seek a nondrug-oriented support system
ANS: B
Very few people in the late stage of dependence will recover without treatment. The other
options may aid in the recovery, but it is the treatment that is essential for recovery.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1147
OBJ: 2 TOP: Addiction KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
6. What is the best response by a nurse when a patient inquires how alcohol acts so quickly on
his system?
a. Alcohol is digested quickly.
b. Alcohol is converted to glycogen immediately.
c. Alcohol is metabolized into ethanol rapidly.
d. Alcohol is excreted in urine slowly.
ANS: C
Alcohol is not digested or converted into glycogen, but it is metabolized quickly by the liver
to ethanol.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1148
OBJ: 4 TOP: Alcoholism KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
7. The nurse reminds a group of high school students that most states have laws limiting blood
alcohol levels of drivers. What is the legal blood alcohol serum level in most states?
a. 0.08%
b. 0.20%
c. 0.40%
d. 0.50%
ANS: A
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