Chapter 20: Substance Use and Addictive Disorders
MULTIPLE CHOICE
1. When asked, What causes alcoholism? the nurses response will be based on the fact that:
a. The response to alcohol is a result of a brain-based disorder.
b. Alcoholism is believed to be an allergic response to the alcohol.
c. Every individual has the same susceptibility for developing alcoholism.
d. It is a physical response to alcohol but its etiology is not fully understood.
ANS: A
It has been determined that alcoholism is not an allergy but rather it is recognized as a partial
brain-based disorder that some brains are more susceptible to than others.
2. Which patient response would support the conclusion that the patient has moved into the dark
side of a narcotic addition?
a. Ive been abusing drugs for at least 10 years.
b. Drugs makes me feel good; that why I use them.
c. I dont like the way I feel when I dont use drugs.
d. Drugs are something that I can either take or leave
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,ANS: C
During beginning use (the light side), the feel good effects are dominant. As the individual
becomes habituated to the drug, tolerance and withdrawal symptoms develop; this constitutes the
dark side. The remaining options do not describe effects of drug use.
3. A substance use disorder (SUD) is a likely comorbid mental illness in which patient?
a. The soldier diagnosed with posttraumatic stress disorder
b. The teenager demonstrating symptoms of poor impulse control
c. The older adult diagnosed with early stage Alzheimers disease
d. The new mother exhibiting symptoms of postpartum depression
ANS: A
Posttraumatic stress disorder creates a risk for substance use or relapse. A total of 30% to 60% of
persons with SUDs meet the criteria for comorbid posttraumatic stress disorder. The remaining
options have not shown such a prevalence of comorbid relationship with SUDs.
4. Which group would be the target population for educational material on the dangers of binge
drinking?
a. Full-time college students
b. Blue-collared young adults
c. Older widows and widowers
d. High school juniors and seniors
ANS: A
The highest prevalence of binge and heavy drinking is among young adults between the ages of
18 and 25 years, with the majority being full-time college students.
5. Which social factor has the greatest impact on the changing nature of alcohol abuse treatment?
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, a. Development of new pharmaceutical treatment options
b. Dramatic increase of alcoholism among young adult males
c. Raising cost of both inpatient and outpatient treatment programs
d. Womens substance abuse only recently acknowledge by society
ANS: D
The existence of an alcohol abuse problem among women has only been recently recognized and
this has dramatically affected treatments and services being provided. Although the other options
are true, they do not have the impact on treatment modalities as much as the correct option.
6. Which assessment data poses the greatest risk for injury in a patient who abuses alcohol?
a. Takes a baby aspirin each morning
b. Uses over-the-counter antihistamines for seasonal allergies
c. Has been taking a tricyclic antidepressant for more than 2 years
d. Took a narcotic for 1 week to manage postdental surgery pain
ANS: C
Tricyclic antidepressants are strictly contraindicated with alcohol consumption because of their
potential effect on cardiac function. Although aspirin increases bleeding times and antihistamines
and narcotics increase sedation, the outcome of combining alcohol and these drugs is not as
dangerous as that of the correct option.
7. If an individual is admitted with a diagnosis of Wernicke-Korsakoffs syndrome, the nurse
would expect to assess:
a. Peptic ulcer
b. Vivid illusions
c. Cognitive deficits
d. Auditory hallucinations
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MULTIPLE CHOICE
1. When asked, What causes alcoholism? the nurses response will be based on the fact that:
a. The response to alcohol is a result of a brain-based disorder.
b. Alcoholism is believed to be an allergic response to the alcohol.
c. Every individual has the same susceptibility for developing alcoholism.
d. It is a physical response to alcohol but its etiology is not fully understood.
ANS: A
It has been determined that alcoholism is not an allergy but rather it is recognized as a partial
brain-based disorder that some brains are more susceptible to than others.
2. Which patient response would support the conclusion that the patient has moved into the dark
side of a narcotic addition?
a. Ive been abusing drugs for at least 10 years.
b. Drugs makes me feel good; that why I use them.
c. I dont like the way I feel when I dont use drugs.
d. Drugs are something that I can either take or leave
HTTPS://PASINGGRADES.COM/
,ANS: C
During beginning use (the light side), the feel good effects are dominant. As the individual
becomes habituated to the drug, tolerance and withdrawal symptoms develop; this constitutes the
dark side. The remaining options do not describe effects of drug use.
3. A substance use disorder (SUD) is a likely comorbid mental illness in which patient?
a. The soldier diagnosed with posttraumatic stress disorder
b. The teenager demonstrating symptoms of poor impulse control
c. The older adult diagnosed with early stage Alzheimers disease
d. The new mother exhibiting symptoms of postpartum depression
ANS: A
Posttraumatic stress disorder creates a risk for substance use or relapse. A total of 30% to 60% of
persons with SUDs meet the criteria for comorbid posttraumatic stress disorder. The remaining
options have not shown such a prevalence of comorbid relationship with SUDs.
4. Which group would be the target population for educational material on the dangers of binge
drinking?
a. Full-time college students
b. Blue-collared young adults
c. Older widows and widowers
d. High school juniors and seniors
ANS: A
The highest prevalence of binge and heavy drinking is among young adults between the ages of
18 and 25 years, with the majority being full-time college students.
5. Which social factor has the greatest impact on the changing nature of alcohol abuse treatment?
HTTPS://PASINGGRADES.COM/
, a. Development of new pharmaceutical treatment options
b. Dramatic increase of alcoholism among young adult males
c. Raising cost of both inpatient and outpatient treatment programs
d. Womens substance abuse only recently acknowledge by society
ANS: D
The existence of an alcohol abuse problem among women has only been recently recognized and
this has dramatically affected treatments and services being provided. Although the other options
are true, they do not have the impact on treatment modalities as much as the correct option.
6. Which assessment data poses the greatest risk for injury in a patient who abuses alcohol?
a. Takes a baby aspirin each morning
b. Uses over-the-counter antihistamines for seasonal allergies
c. Has been taking a tricyclic antidepressant for more than 2 years
d. Took a narcotic for 1 week to manage postdental surgery pain
ANS: C
Tricyclic antidepressants are strictly contraindicated with alcohol consumption because of their
potential effect on cardiac function. Although aspirin increases bleeding times and antihistamines
and narcotics increase sedation, the outcome of combining alcohol and these drugs is not as
dangerous as that of the correct option.
7. If an individual is admitted with a diagnosis of Wernicke-Korsakoffs syndrome, the nurse
would expect to assess:
a. Peptic ulcer
b. Vivid illusions
c. Cognitive deficits
d. Auditory hallucinations
HTTPS://PASINGGRADES.COM/
