TEST BANK FOR MEDICAL-SURGICAL NURSING: CLINICAL REASONING IN PATIENT CARE, 5TH EDITION

LeMone/Burke/Bauldoff, Medical-Surgical Nursing 5th Edition Test Bank Chapter 6 Question 1 Type: MCSA A patient tells the nurse that both of his parents are alcoholics and wonders about the likelihood of becoming an alcoholic as well. With which of the following should the nurse respond to this patient? 1. “There are studies that support a genetic link for developing alcoholism.” 2. “Why are you concerned about becoming an alcoholic” 3. “You will likely become an alcoholic.” 4. “Don’t worry about that.” Correct Answer: 1 Rationale 1: Genetic studies have been performed that suggest heredity plays a role in the development of alcoholism. The nurse should respond that that there are studies that support this link. Rationale 2: The nurse should not question the patient’s request for information about becoming an alcoholic like his parents. Rationale 3: Although the patient does have an increased risk, stating that he will become an alcoholic is inappropriate. Rationale 4: Telling the patient not to worry about becoming an alcoholic is also an inappropriate response. Global Rationale: Genetic studies have been performed that suggest heredity plays a role in the development of alcoholism. The nurse should respond that that there are studies that support this link. The nurse should not question the patient’s request for information about becoming an alcoholic like his parents. Although the patient does have an increased risk, stating that he will become an alcoholic is inappropriate. Telling the patient not to worry about becoming an alcoholic is also an inappropriate response. Cognitive Level: Applying Client Need: Psychosocial Integrity Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 1. Discuss risk factors associated with substance abuse. Question 2 Type: MCSA The mother of a patient admitted with alcohol abuse tells the nurse that alcohol is not consumed at home and the patient is adopted. The nurse realizes that 1. the patient’s biological parents might have abused alcohol.