Chapter 25 Substance-Related Disorders

Chapter 25  Substance-Related Disorders

Complete Chapter Questions And Answers
 

Sample Questions

A 51-year-old male has been admitted to the detoxification unit with acute symptoms of alcohol withdrawal. Nursing assessment is likely to reveal what?
A)
Tremors, headache, flushed face, and hallucinations
B)
Psychomotor hypoactivity, hypotension, and increased appetite
C)
Hypomania, bradycardia, and generalized seizures
D)
Anhidrosis, hypotonicity, and delusions
Ans:
A

Feedback:

Symptoms of alcohol withdrawal include tremors, headache, flushed face, and hallucinations. The client will experience hypertension (not hypotension), tachycardia (not bradycardia), and diaphoresis (not anhidrosis).

2.
An adult male is admitted to the inpatient detoxification unit for acute alcohol withdrawal and is experiencing diaphoresis, tachycardia, and illusions. An appropriate nursing diagnosis for the client at this time is what?
A)
Sensory perceptual alterations related to alcohol withdrawal
B)
Altered cardiac output related to hypertension
C)
Altered neurologic status related to seizures
D)
Paranoid schizophrenia related to delusions
Ans:
A

Feedback:

The only diagnosis that is supported by the data given is that of sensory perceptual alterations (illusions) related to alcohol withdrawal.

3.
When differentiating alcohol abuse from alcohol dependence using DSM-IV-TR criteria, the nurse teaches that the term alcohol abuse is used when the individual does which of the following?
A)
The individual experiences withdrawal symptoms and frequent intoxication.
B)
The individual continues to use alcohol despite knowledge of having a problem.
C)
The individual ingests large amounts of alcohol over a longer than intended period of time.
D)
The individual is unable to cut down or control the use of alcohol.
Ans:
B

Feedback:

Alcohol abuse is diagnosed when the individual continues to use alcohol despite knowledge of having a problem. The other three choices are all indicative of alcohol dependence.

4.
A client with chronic alcoholism has been found to have Korsakoff’s psychosis. This irreversible complication is characterized by what?
A)
Thiamine, or vitamin B12, deficiency
B)
Hypothalamic and mammillary body lesions
C)
Inability to learn new skills and short-term memory loss
D)
Double vision and rapid eye movement
Ans:
A

Feedback:

Korsakoff’s psychosis is associated with a deficiency in thiamine, or vitamin B12.

5.
An appropriate goal for a client newly admitted to the unit for alcohol withdrawal is what?
A)
Verbalize feeling safe and comfortable.
B)
Demonstrate knowledge of the deleterious effects of alcohol.
C)
Attend two Alcoholics Anonymous meetings each week.
D)
Make amends to people in his or her life that he or she has harmed.
Ans:
A

Feedback:

The client should verbalize feeling safe and comfortable. The other answer choices are goals for longer-term treatment—i.e., after the detoxification process has been successfully completed.