NURSING
A Concept-Based
Approach to Learning,
Volume 2
4th edition, Pearson
TEST BANK
,Nursing: A Concept-Based Approach to Learning- Volume 2, 4th edition, Pearson Test Bank
Volume 2:
Content:
Module 22 Addiction 1484
Module 23 Cognition 1541
Module 24 Culture and Diversity 1595
Module 25 Development 1614
Module 26 Family 1672
Module 27 Grief and Loss 1696
Module 28 Mood and Affect 1723
Module 29 Self 1778
Module 30 Spirituality 1817
Module 31 Stress and Coping 1844
Module 32 Trauma 1898
Module 33 The Concept of Reproduction 1951
Module 34 Assessment 2021
Module 35 Caring Interventions 2039
Module 36 Clinical Decision Making 2050
Module 37 Collaboration 2090
Module 38 Communication 2112
Module 39 Managing Care 2163
Module 40 Professional Behaviors 2195
Module 41 Teaching and Learning 2230
Module 42 Accountability 2254
Module 43 Advocacy 2271
Module 44 Ethics 2288
Module 45 Evidence Based Practice 2323
Module 46 Healthcare Systems 2342
Module 47 Health Policy 2373
Module 48 Informatics 2383
Module 49 Legal Issues 2407
Module 50 Quality Improvement 2443
Module 51 Safety 2457
,Volume 2:
Module 22: Addiction
Nursing: A Concept-Based Approach to Learning Vol. 2 – 4th Edition Pearson - Test Bank
The Concept of Addiction:
1) The nurse at an outpatient addiction clinic uses the following diagram as a teaching tool. In
which way should this diagram be interpreted?
A) Most abused substances either imitate or block the action of neurotransmitters.
B) In order to be addictive, a substance must cause the release of excess neurotransmitters.
C) Substances that exert antagonistic effects can be used to counteract the addictive tendencies of
substances that exert agonistic effects.
D) People with addictive personalities process neurotransmitters differently than people who are
less prone to addiction.
Answer: A
Explanation: A) Most abused substances either mimic or block neurotransmitters at critical
receptor sites.
B) These drugs exert agonistic effects if they boost neurotransmitter synthesis, increase
neurotransmitter release, or activate receptors that normally respond to neurotransmitters.
C) Abused substances exert antagonistic effects if they interfere with neurotransmitter release,
occupy receptor sites that are normally sensitive to neurotransmitters, or cause leakage of
neurotransmitters from synaptic vesicles. Both drugs with agonistic effects and those with
antagonistic effects can be addictive, and administering one class of drug will not counteract the
addictive tendencies of the other class.
D) Researchers have not identified an addictive personality type.
Page Ref: 1694
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Physiological Adaptation
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, Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods
and processes. | AACN Domains and Competencies: 2.7 Evaluate outcomes of care. | NLN
Competencies: Knowledge and Science: Relationships between knowledge/science and quality
and safe patient care. | Nursing Process: Evaluation
Learning Outcome: 22.1. Summarize the processes involved in addiction.
MNL LO: Analyze the concept of addiction and its application to nursing care.
2) A public health nurse is presenting a teaching session about alcohol use to a group of college
seniors. During the session, one of the students admits to frequent alcohol use. Which action
should the nurse take?
A) Initiate a community assessment of the campus
B) Contact the campus nurse and refer the student for services
C) Notify campus security that the student may be driving while intoxicated
D) Complete a crisis assessment with the student
Answer: D
Explanation: A) A community assessment is not necessary at this time because the issue
appears to be limited to this particular student.
B) Contacting the campus nurse is not advised without the student's permission.
C) There is no evidence that the student is driving while intoxicated.
D) The student should be assessed to determine the extent of crisis he or she is facing as the
result of frequent alcohol use. This crisis assessment will allow the nurse to determine the
appropriate course of action.
Page Ref: 1702
Cognitive Level: Applying
Client Need/Sub: Psychosocial Integrity
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of
patient-centered care: Patient/family/community preferences, values; Coordination and
integration of care; Information, communication, and education; Physical comfort and emotional
support; Involvement of family and friends; Transition and continuity. | AACN Domains and
Competencies: 2.3 Integrate assessment skills in practice. | NLN Competencies: Relationship
Centered Care: Effective communication. | Nursing Process: Assessment
Learning Outcome: 22.5. Differentiate common assessment procedures and tests used to
examine individuals suspected of abusing a substance.
MNL LO: Analyze the concept of addiction and its application to nursing care.
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