Chapter 13 Medical Surgical Nursing Preparation For Practice 2nd Edition

Chapter 13  Medical Surgical Nursing Preparation For Practice 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
A patient tells the nurse that both his parents are alcoholics, and he wonders about the likelihood of becoming an alcoholic as well. How should the nurse respond?
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 suggest that heredity plays a role in the development of alcoholism.
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 an inappropriate response.
Global Rationale:

Cognitive Level: Applying
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 13-1

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. How would the nurse evaluate this information?
1. The patient’s biological parents might have abused alcohol.
2. The patient spends time drinking with friends.
3. Consuming alcohol is a symptom of stress.
4. Alcoholism is a learned behavior.
Correct Answer: 1
Rationale 1: Genetic studies suggest that heredity plays a role in the development of alcoholism. Because the patient was adopted, the patient’s biological parents may have abused alcohol.
Rationale 2: There is not enough information to conclude that the patient is drinking with friends.
Rationale 3: There is not enough information to conclude that the patient is consuming alcohol because of stress.
Rationale 4: There is not enough evidence to conclude that the patient’s alcohol use is learned behavior.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 13-1

Question 3
Type: MCSA
A patient tells the nurse that she started to have a glass of wine every evening at home after work to “unwind” and then realized that she cannot continue with her day unless she has the wine. The nurse realizes that this patient uses wine for which reason?
1. To cope with day-to-day problems
2. To deal with difficulty expressing emotions
3. To suppress a genetic need for alcohol
4. To socialize with others
Correct Answer: 1
Rationale 1: Psychological factors in substance abuse include the use of the substance as self-medication to cope with day-to-day problems that over time becomes an addiction.
Rationale 2: There is no information to suggest that the patient is having difficulty expressing emotions.
Rationale 3: There is no information to suggest that the patient has a genetic need for alcohol.
Rationale 4: The patient is drinking at home after work.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 13-1

Question 4
Type: MCSA
The nurse is concerned about possible substance abuse by a coworker. Which behavior warrants further investigation?
1. The coworker frequently wastes medications.
2. The coworker frequently requests the largest patient care assignment for the shift.
3. The coworker prefers not to be the “medication nurse” on the shift.
4. The coworker declines to take scheduled breaks.
Correct Answer: 1
Rationale 1: Excessive waste of medications could be a sign that a nurse is using or diverting drugs.
Rationale 2: Requesting a large patient care assignment would not be characteristic of a nurse who is abusing substances. The nurse who is unable or unwilling to manage a patient care assignment could be a substance abuser.
Rationale 3: Requesting not to be the medication nurse would reduce access to drugs subject to abuse.
Rationale 4: Taking frequent or lengthy breaks might signal substance abuse. Declining scheduled breaks is not consistent with substance abuse.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 13-3