VN 304 Med Surg 2 Quiz 14: Substance-Related
and Addictive Disorders Exam
A patient has been diagnosed with alcoholism. A nurse tells him that he has a
physical illness with a genetic predisposition to alcoholism, and the only effective
treatment is total abstinence from alcohol. Which theory does this approach
characterize?
A. Biologic
B. Behavioral
C. Sociocultural
D. Intrapersonal - ANSWER-ANS: A. Biologic
A nurse explains that according to the intrapersonal theory, addiction is caused by
early childhood rejection. These substance abusers are thought to have common
characteristics. Which characteristics are common in people who abuse
substances?
A. Open-boundary approach to life that likes to party frequently
B. Attention seeking, need for control, and self-centeredness
C. Shyness and anxiety
D. Stress and eagerness to be a part of the in-group - ANSWER-ANS: B. Attention
seeking, need for control, and self-centeredness
,During the taking of a medical history, a patient who is addicted to heroin reports
he only uses the drug a few times a week. What is the nurses best response when
trying to disclose more precise information?
A. "OK. You only use heroin two times a week?"
B. "What do you mean when you say a few?"
C. "Are you saying that in a weeks time would you use heroin only two times?"
D. "Rate your weekly usage on a scale of 1 to 15" - ANSWER-ANS: D. "Rate your
weekly usage on a scale of 1 to 15."
A patient who has alcoholism with a history of heavy drinking is brought to the
inpatient psychiatric unit saying that he does not know where he is or what day it
is. Which situation should the nurse suspect he is exhibiting?
A. Delirium
B. Alcoholic dementia
C. Blackout
D. Amnesia - ANSWER-ANS: C. Blackout
A nurse is discharging a patient with a pulmonary disorder to return home with
her family. She has had a difficult time while in the hospital and has experienced
withdrawal from tobacco. When the nurse tells her that community resources are
available to help her to stop smoking, she says, "That's OK. I can stop whenever I
want to." What defense mechanism does this exemplify?
A. Rationalization
,B. Denial
C. Intellectualization
D. Projection - ANSWER-ANS: B. Denial
A patient with an alcohol addiction says, "My drinking is all my wife's fault. She
makes me so crazy I just have to have a drink." Which defense mechanism does
this exemplify?
A. Rationalization
B. Denial
C. Intellectualization
D. Projection - ANSWER-ANS: D. Projection
Which information about a patient should lead a nurse to suspect substance
abuse?
A. Abnormal liver function test results and a gastrointestinal (GI) bleed
B. Positive syphilis screening results and varicose veins
C. Fungal infection and a potassium level of 4.2 mEq/L
D. Decreased albumin level and creatinine level of 1.2 mg/dL - ANSWER-ANS: A.
Abnormal liver function test results and a gastrointestinal (GI) bleed
A urine drug screen is ordered for a patient suspected of a driving while
intoxicated (DWI). Which drugs are included in this screening?
, A. Lysergic acid diethylamide (LSD), Valium, and Percocet
B. Crack, heroin, nonsteroidal anti-inflammatory drugs (NSAIDs)
C. Marijuana, amphetamines, and Elavil
D. Librium, cocaine, and Zoloft - ANSWER-ANS: A. Lysergic acid diethylamide (LSD),
Valium, and Percocet
An alcoholic is brought into the emergency department in an intoxicated state at
2000. The day shift nurse assesses the patient to exhibit tremors, have increased
blood pressure, and agitation at 0800 rounds. What do these signs and symptoms
indicate?
A. Major withdrawal
B. Early withdrawal
C. Delirium tremens
D. Minor withdrawal - ANSWER-ANS: B. Early withdrawal
Which syndrome of alcoholism is related to thiamine deficiency?
A. Fetal alcohol syndrome
B. Wernicke encephalopathy
C. Korsakoff psychosis
D. Alcoholic dementia - ANSWER-ANS: B. Wernicke encephalopathy
A wife of a man with long-term alcoholism wants to help her husband quit
drinking. The nurse tells her that an initial approach might be for a group of
and Addictive Disorders Exam
A patient has been diagnosed with alcoholism. A nurse tells him that he has a
physical illness with a genetic predisposition to alcoholism, and the only effective
treatment is total abstinence from alcohol. Which theory does this approach
characterize?
A. Biologic
B. Behavioral
C. Sociocultural
D. Intrapersonal - ANSWER-ANS: A. Biologic
A nurse explains that according to the intrapersonal theory, addiction is caused by
early childhood rejection. These substance abusers are thought to have common
characteristics. Which characteristics are common in people who abuse
substances?
A. Open-boundary approach to life that likes to party frequently
B. Attention seeking, need for control, and self-centeredness
C. Shyness and anxiety
D. Stress and eagerness to be a part of the in-group - ANSWER-ANS: B. Attention
seeking, need for control, and self-centeredness
,During the taking of a medical history, a patient who is addicted to heroin reports
he only uses the drug a few times a week. What is the nurses best response when
trying to disclose more precise information?
A. "OK. You only use heroin two times a week?"
B. "What do you mean when you say a few?"
C. "Are you saying that in a weeks time would you use heroin only two times?"
D. "Rate your weekly usage on a scale of 1 to 15" - ANSWER-ANS: D. "Rate your
weekly usage on a scale of 1 to 15."
A patient who has alcoholism with a history of heavy drinking is brought to the
inpatient psychiatric unit saying that he does not know where he is or what day it
is. Which situation should the nurse suspect he is exhibiting?
A. Delirium
B. Alcoholic dementia
C. Blackout
D. Amnesia - ANSWER-ANS: C. Blackout
A nurse is discharging a patient with a pulmonary disorder to return home with
her family. She has had a difficult time while in the hospital and has experienced
withdrawal from tobacco. When the nurse tells her that community resources are
available to help her to stop smoking, she says, "That's OK. I can stop whenever I
want to." What defense mechanism does this exemplify?
A. Rationalization
,B. Denial
C. Intellectualization
D. Projection - ANSWER-ANS: B. Denial
A patient with an alcohol addiction says, "My drinking is all my wife's fault. She
makes me so crazy I just have to have a drink." Which defense mechanism does
this exemplify?
A. Rationalization
B. Denial
C. Intellectualization
D. Projection - ANSWER-ANS: D. Projection
Which information about a patient should lead a nurse to suspect substance
abuse?
A. Abnormal liver function test results and a gastrointestinal (GI) bleed
B. Positive syphilis screening results and varicose veins
C. Fungal infection and a potassium level of 4.2 mEq/L
D. Decreased albumin level and creatinine level of 1.2 mg/dL - ANSWER-ANS: A.
Abnormal liver function test results and a gastrointestinal (GI) bleed
A urine drug screen is ordered for a patient suspected of a driving while
intoxicated (DWI). Which drugs are included in this screening?
, A. Lysergic acid diethylamide (LSD), Valium, and Percocet
B. Crack, heroin, nonsteroidal anti-inflammatory drugs (NSAIDs)
C. Marijuana, amphetamines, and Elavil
D. Librium, cocaine, and Zoloft - ANSWER-ANS: A. Lysergic acid diethylamide (LSD),
Valium, and Percocet
An alcoholic is brought into the emergency department in an intoxicated state at
2000. The day shift nurse assesses the patient to exhibit tremors, have increased
blood pressure, and agitation at 0800 rounds. What do these signs and symptoms
indicate?
A. Major withdrawal
B. Early withdrawal
C. Delirium tremens
D. Minor withdrawal - ANSWER-ANS: B. Early withdrawal
Which syndrome of alcoholism is related to thiamine deficiency?
A. Fetal alcohol syndrome
B. Wernicke encephalopathy
C. Korsakoff psychosis
D. Alcoholic dementia - ANSWER-ANS: B. Wernicke encephalopathy
A wife of a man with long-term alcoholism wants to help her husband quit
drinking. The nurse tells her that an initial approach might be for a group of
