Chapter 22 Substance Related and Addictive
Disorders UPDATED Exam Questions and
CORRECT Answers
A patient diagnosed with alcoholism asks, How will Alcoholics Anonymous (AA) help me?
Select the nurses best response. - CORRECT ANSWER - An individual is supported by
peers while striving for abstinence one day at a time.
A nurse reviews vital signs for a patient admitted with an injury sustained while intoxicated. The
medical record shows these blood pressure and pulse readings at the times listed:
0200: 118/78 mm Hg and 72 beats/min
0400: 126/80 mm Hg and 76 beats/min
0600: 128/82 mm Hg and 72 beats/min
0800: 132/88 mm Hg and 80 beats/min
1000: 148/94 mm Hg and 96 beats/min
What is the nurses priority action? - CORRECT ANSWER - Consult the health care
provider.
A nurse cares for a patient diagnosed with an opioid overdose. Which focused assessment has the
highest priority? - CORRECT ANSWER - Respiratory
A patient admitted for injuries sustained while intoxicated has been hospitalized for 48 hours.
The patient is now shaky, irritable, anxious, diaphoretic, and reports nightmares. The pulse rate is
130 beats/min. The patient shouts, Bugs are crawling on my bed. Ive got to get out of here.
Select the most accurate assessment of this situation. The patient: - CORRECT
ANSWER - has symptoms of alcohol-withdrawal delirium.
A patient admitted yesterday for injuries sustained while intoxicated believes bugs are crawling
on the bed. The patient is anxious, agitated, and diaphoretic. What is the priority nursing
diagnosis? - CORRECT ANSWER - Risk for injury
, A hospitalized patient diagnosed with an alcohol abuse disorder believes the window blinds are
snakes trying to get in the room. The patient is anxious, agitated, and diaphoretic. The nurse can
anticipate the health care provider will prescribe a(n): - CORRECT ANSWER - sedative,
such as lorazepam (Ativan) or chlordiazepoxide (Librium).
A hospitalized patient diagnosed with an alcohol abuse disorder believes spiders are spinning
entrapping webs in the room. The patient is fearful, agitated, and diaphoretic. Which nursing
intervention is indicated? - CORRECT ANSWER - One-on-one supervision
A patient diagnosed with an alcohol abuse disorder says, Drinking helps me cope with being a
single parent. Which therapeutic response by the nurse would help the patient conceptualize the
drinking objectively? - CORRECT ANSWER - Tell me what happened the last time you
drank.
A patient asks for information about Alcoholics Anonymous. Select the nurses best response.
Alcoholics Anonymous is a: - CORRECT ANSWER - self-help group for which the goal
is sobriety.
Police bring a patient to the emergency department after an automobile accident. The patient
demonstrates ataxia and slurred speech. The blood alcohol level is 500 mg%. Considering the
relationship between the behavior and blood alcohol level, which conclusion is most probable?
The patient: - CORRECT ANSWER - has a high tolerance to alcohol.
A patient admitted to an alcoholism rehabilitation program tells the nurse, Im actually just a
social drinker. I usually have a drink at lunch, two in the afternoon, wine with dinner, and a few
drinks during the evening. The patient is using which defense mechanism? - CORRECT
ANSWER - Denial
Which medication to maintain abstinence would most likely be prescribed for patients with an
addiction to either alcohol or opioids? - CORRECT ANSWER - Naltrexone (ReVia)
During the third week of treatment, the spouse of a patient in a rehabilitation program for
substance abuse says, After this treatment program, I think everything will be all right. Which
remark by the nurse will be most helpful to the spouse? - CORRECT ANSWER - While
Disorders UPDATED Exam Questions and
CORRECT Answers
A patient diagnosed with alcoholism asks, How will Alcoholics Anonymous (AA) help me?
Select the nurses best response. - CORRECT ANSWER - An individual is supported by
peers while striving for abstinence one day at a time.
A nurse reviews vital signs for a patient admitted with an injury sustained while intoxicated. The
medical record shows these blood pressure and pulse readings at the times listed:
0200: 118/78 mm Hg and 72 beats/min
0400: 126/80 mm Hg and 76 beats/min
0600: 128/82 mm Hg and 72 beats/min
0800: 132/88 mm Hg and 80 beats/min
1000: 148/94 mm Hg and 96 beats/min
What is the nurses priority action? - CORRECT ANSWER - Consult the health care
provider.
A nurse cares for a patient diagnosed with an opioid overdose. Which focused assessment has the
highest priority? - CORRECT ANSWER - Respiratory
A patient admitted for injuries sustained while intoxicated has been hospitalized for 48 hours.
The patient is now shaky, irritable, anxious, diaphoretic, and reports nightmares. The pulse rate is
130 beats/min. The patient shouts, Bugs are crawling on my bed. Ive got to get out of here.
Select the most accurate assessment of this situation. The patient: - CORRECT
ANSWER - has symptoms of alcohol-withdrawal delirium.
A patient admitted yesterday for injuries sustained while intoxicated believes bugs are crawling
on the bed. The patient is anxious, agitated, and diaphoretic. What is the priority nursing
diagnosis? - CORRECT ANSWER - Risk for injury
, A hospitalized patient diagnosed with an alcohol abuse disorder believes the window blinds are
snakes trying to get in the room. The patient is anxious, agitated, and diaphoretic. The nurse can
anticipate the health care provider will prescribe a(n): - CORRECT ANSWER - sedative,
such as lorazepam (Ativan) or chlordiazepoxide (Librium).
A hospitalized patient diagnosed with an alcohol abuse disorder believes spiders are spinning
entrapping webs in the room. The patient is fearful, agitated, and diaphoretic. Which nursing
intervention is indicated? - CORRECT ANSWER - One-on-one supervision
A patient diagnosed with an alcohol abuse disorder says, Drinking helps me cope with being a
single parent. Which therapeutic response by the nurse would help the patient conceptualize the
drinking objectively? - CORRECT ANSWER - Tell me what happened the last time you
drank.
A patient asks for information about Alcoholics Anonymous. Select the nurses best response.
Alcoholics Anonymous is a: - CORRECT ANSWER - self-help group for which the goal
is sobriety.
Police bring a patient to the emergency department after an automobile accident. The patient
demonstrates ataxia and slurred speech. The blood alcohol level is 500 mg%. Considering the
relationship between the behavior and blood alcohol level, which conclusion is most probable?
The patient: - CORRECT ANSWER - has a high tolerance to alcohol.
A patient admitted to an alcoholism rehabilitation program tells the nurse, Im actually just a
social drinker. I usually have a drink at lunch, two in the afternoon, wine with dinner, and a few
drinks during the evening. The patient is using which defense mechanism? - CORRECT
ANSWER - Denial
Which medication to maintain abstinence would most likely be prescribed for patients with an
addiction to either alcohol or opioids? - CORRECT ANSWER - Naltrexone (ReVia)
During the third week of treatment, the spouse of a patient in a rehabilitation program for
substance abuse says, After this treatment program, I think everything will be all right. Which
remark by the nurse will be most helpful to the spouse? - CORRECT ANSWER - While
