chapter 56 - Chapter 56: Substance-Related Disorders...

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Chapter 56: Substance-Related Disorders MULTIPLE CHOICE 1. A patient has been diagnosed with alcoholism. The nurse tells him that he has a physical ill- ness with a genetic predisposition to alcoholism and the only effective treatment is total ab- stinence from alcohol. This type of approach characterizes: 1. biologic theory. 2. behavioral theory. 3. sociocultural theory. 4. intrapersonal theory. ANS: 1 This question requires the test taker to differentiate among the theories and approaches com- monly used with patients who are addicted. PTS: 1 DIF: Cognitive Level: Comprehension REF: 1265 OBJ: 1 TOP: Etiology and Risk Factors KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 2. The nurse explains that according to the intrapersonal theory, addiction is caused by early childhood rejection. These substance abusers are thought to have common characteristics that include: 1. an open boundary approach to life that likes to party frequently. 2. attention seeking, need for control, and self-centeredness. 3. shyness and anxiety. 4. stress and eagerness to be a part of the “in” group. ANS: 2 The intrapersonal theory identifies the common personality traits of self-centeredness, need for control, and attention seeking as parts of the addictive personality. PTS: 1 DIF: Cognitive Level: Analysis REF: 1265 OBJ: 1 TOP: Etiology and Risk Factors KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity 3. To assess the amount of pain medication needed by the patient who has bone cancer, but who has also been using heroin, the best approach is to: 1. tell the patient that getting his pain under control will be difficult because he uses heroin. 2. ask the pharmacist to help you compute the amount of pain medication that you think he will need. 3. try to use nonopioid medications so that you do not interfere with his heroin needs. 4. openly question the patient about his daily heroin use. ANS: 4 When trying to get a health history on a substance abuse patient, the best method is an open discussion of the drug use. The discussion should be open and nonjudgmental.
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PTS: 1 DIF: Cognitive Level: Synthesis REF: 1267 OBJ: 2 TOP: Nursing Assessment of the Substance Abuser KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 4. An alcoholic patient is brought to the inpatient psychiatric unit saying that he does not know where he is or what day it is. Because he has a heavy drinking history, you suspect that he is having: 1. delirium. 2. alcoholic dementia. 3. blackout. 4. amnesia. ANS: 3 Blackouts are common with heavy drinking over time. The patient data support that the memory loss is associated with the alcohol use, and blackouts would be an expected out- come.
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This note was uploaded on 02/20/2012 for the course NURSING 103 taught by Professor Ernheart during the Fall '11 term at Pennsylvania State University, University Park.

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chapter 56 - Chapter 56: Substance-Related Disorders...

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