NSG 5544 South College - Dunphy Psychosocial Part 1
Questions | 2026/2027 | Answers Correct | With Complete
Solutions
1. The effectiveness of benzodiazepines in treating anxiety
disorders suggests that which of the
following neurotransmitters plays a role in anxiety?
a. Acetylcholine
b. Gamma-aminobutyric acid (GABA)
c. Dopamine
d. Serotonin Correct Answers b. Gamma-aminobutyric acid
(GABA)
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 Correct Answers c. Withdrawal
problems
Diaphoresis, tremors, and hypertension are all symptoms of
withdrawal from alcohol consumption.
The nurse, concerned about the patients medical condition, may
not consider substance abuse until
withdrawal symptoms appear.
,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 Correct Answers d. 14 or younger
Forty-four percent of those who start drinking at the age of 14 or
younger will develop alcoholism.
4. Which of the following is considered first-line treatment for
panic disorders?
a. Benzodiazepines
b. Selective serotonin reuptake inhibitors (SSRIs)
c. Tricyclic antidepressants
d. Cognitive behavioral therapy Correct Answers d. Cognitive
behavioral therapy
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 Correct Answers c. Middle
In the middle stage, the user shows signs of withdrawal with
abstinence and must use the drug to feel
normal.
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 Correct Answers b.
Receive treatment for substance abuse
Very few people in the late stage of dependence will recover
without treatment.
6. Which of the following neuroendocrine abnormalities is
implicated in depression?
a. Decrease in adrenal size
b. Increased cortisol and corticotrophin-releasing hormone
c. An exaggerated response of thyrotropin (TRH) to infusion of
thyroid-releasing hormone
d. Increased inhibitory response of glucocorticoids to
dexamethasone Correct Answers b. Increased cortisol and
corticotrophin-releasing hormone
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. Correct Answers c.
Alcohol is metabolized into ethanol rapidly.
Alcohol is not digested or converted into glycogen, but it is
metabolized quickly by the liver to
ethanol.
, 7. The clinician has chosen to prescribe an SSRI instead of a
tricyclic antidepressant (TCA) for a patient fitting the diagnostic
criteria for depression. Which of the following is not true
concerning SSRIs in comparison to tricyclic antidepressants?
a. SSRIs are more effective than TCAs.
b. SSRIs take less time to work than TCAs.
c. SSRIs have a more favorable side-effect profile than TCAs.
d. SSRIs are not lethal in overdose. Correct Answers a. SSRIs
are more effective than TCAs.
9. It is important to educate patients with depression and their
family members about reporting signs of
increasing depression and suicidal thoughts. This is especially
true during which time period?
a. Before the initiation of treatment
b. 1 to 2 weeks after the initiation of treatment
c. When switching to a different medication
d. 1 to 2 weeks after tapering off medications Correct Answers
b. 1 to 2 weeks after the initiation of treatment
9.The nurse assesses an alcoholic patient carefully for signs of
withdrawal. How soon after cessation
of alcohol intake do withdrawal symptoms usually appear?
a. 3 hours
b. 4 hours
c. 5 hours
d. 6 hours Correct Answers d. 6 hours
Withdrawal signs can occur as early as 6 hours after cessation of
alcohol intake and sometimes last
for 3 to 5 days.
Questions | 2026/2027 | Answers Correct | With Complete
Solutions
1. The effectiveness of benzodiazepines in treating anxiety
disorders suggests that which of the
following neurotransmitters plays a role in anxiety?
a. Acetylcholine
b. Gamma-aminobutyric acid (GABA)
c. Dopamine
d. Serotonin Correct Answers b. Gamma-aminobutyric acid
(GABA)
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 Correct Answers c. Withdrawal
problems
Diaphoresis, tremors, and hypertension are all symptoms of
withdrawal from alcohol consumption.
The nurse, concerned about the patients medical condition, may
not consider substance abuse until
withdrawal symptoms appear.
,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 Correct Answers d. 14 or younger
Forty-four percent of those who start drinking at the age of 14 or
younger will develop alcoholism.
4. Which of the following is considered first-line treatment for
panic disorders?
a. Benzodiazepines
b. Selective serotonin reuptake inhibitors (SSRIs)
c. Tricyclic antidepressants
d. Cognitive behavioral therapy Correct Answers d. Cognitive
behavioral therapy
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 Correct Answers c. Middle
In the middle stage, the user shows signs of withdrawal with
abstinence and must use the drug to feel
normal.
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 Correct Answers b.
Receive treatment for substance abuse
Very few people in the late stage of dependence will recover
without treatment.
6. Which of the following neuroendocrine abnormalities is
implicated in depression?
a. Decrease in adrenal size
b. Increased cortisol and corticotrophin-releasing hormone
c. An exaggerated response of thyrotropin (TRH) to infusion of
thyroid-releasing hormone
d. Increased inhibitory response of glucocorticoids to
dexamethasone Correct Answers b. Increased cortisol and
corticotrophin-releasing hormone
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. Correct Answers c.
Alcohol is metabolized into ethanol rapidly.
Alcohol is not digested or converted into glycogen, but it is
metabolized quickly by the liver to
ethanol.
, 7. The clinician has chosen to prescribe an SSRI instead of a
tricyclic antidepressant (TCA) for a patient fitting the diagnostic
criteria for depression. Which of the following is not true
concerning SSRIs in comparison to tricyclic antidepressants?
a. SSRIs are more effective than TCAs.
b. SSRIs take less time to work than TCAs.
c. SSRIs have a more favorable side-effect profile than TCAs.
d. SSRIs are not lethal in overdose. Correct Answers a. SSRIs
are more effective than TCAs.
9. It is important to educate patients with depression and their
family members about reporting signs of
increasing depression and suicidal thoughts. This is especially
true during which time period?
a. Before the initiation of treatment
b. 1 to 2 weeks after the initiation of treatment
c. When switching to a different medication
d. 1 to 2 weeks after tapering off medications Correct Answers
b. 1 to 2 weeks after the initiation of treatment
9.The nurse assesses an alcoholic patient carefully for signs of
withdrawal. How soon after cessation
of alcohol intake do withdrawal symptoms usually appear?
a. 3 hours
b. 4 hours
c. 5 hours
d. 6 hours Correct Answers d. 6 hours
Withdrawal signs can occur as early as 6 hours after cessation of
alcohol intake and sometimes last
for 3 to 5 days.
