Addictive Personality Test and Study Guide

Care of the Patient with Addictive Personality. 1- When a patient denies any problems related to addiction, what is the nurse’s most therapeutic response? a- “What do you call this hospitalization?” b- How can anybody help you if you don’t see a problem?” c- “Would your family agree that you have no problem?” d- “Can you think of any time your behavior created an unpleasant situation in your life? 2- What age of onset of alcohol consumption is most predictive of alcohol addiction? a- 8 or younger b- 10 or younger c- 12 or younger d- 14 or younger 3- What should the nurse do to decrease the damage of bruxism seen in a patient who has been abusing the drug ecstasy? a- Turn the patient to his right side b- Elevate the head of the bed 30 degrees c- Provide the patient with a pacifier d- Administer a muscle relaxant 4- The nurse explains that Alcoholics Anonymous (AA) consists of abstinent alcoholics who help other alcoholics become and stay sober. What is the foundation of AA? a- Psychotherapy b- A 12-step program c- Treatment center d- Individual counseling 5- The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers. What is the legal blood alcohol serum level in most states? a- 0.08% b- 0.20% c- 0.40% d- 0.50% 6- The nurse should assess a patient for which criteria of addition? (Select of that apply) a- Excessive use of the substance b- Increase in social function c- Uncontrollable consumption d- Increase in economic function e- Psychological disturbances 7- The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers? abcd- Not asking personal questions Having a nonjudgmental atÝtude Including the family Promising the patient not to tell anyone 8- What must a patient in the late stages of dependence do in order to recover? a- Gain insight into the addiction b- Receive treatment for substance abuse c- Pledge to lead a completely different lifestyle d- Seek a nondrug-oriented support system 9- While creating a methadone protocol for a patient rehabilitating from heroin addiction, the nurse explains that the patient will take methadone for what length of time? a- Daily for the rest of his life b- Daily until stabilized, then gradually reduce the dose to zero. c- Weekly for at least 6 months, then decrease the dose to once a month. d- Monthly for 6 to 10 months, then decrease the dose to zero. 10- A patient seems bewildered when he confides in the nurse that all of his friends and leisure time have been centered on a drug culture. Which would be the best response by the nurse? a- “What other sort of activities might you enjoy?” b- “You will need to get new friends” c- “Returning to those activities will get you back here and in trouble.” d- “You need to get a hobby” 11- What stage of dependence is described by a patient when he tells the nurse that he has tried to stop his drug habit, but he does not feel “normal” without it? a- Early b- Prodromal c- Middle d- Late 12- The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement? a- “I drink because I’m lonely.” b- “All my difÏculties are related to my drinking.” c- “I wouldn’t need to drink if I had my family back.” d- “My drinking helps me cope with the stress of my job.” 13- A 60-year old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete? a- Cardiac problems b- Respiratory problems c- Withdrawal problems d- Circulatory problem 14- A pregnant adolescent tells the nurse that she “only drinks a little.” How many drinks per day can cause an adverse effect in an infant? abcd- One drink a day Two drinks a day Three drinks a day Four drinks a day 15- What should the nurse do when suspecting a co-worker of abusing drugs while at work? a- Confront the abuser b- Report observations to a supervisor c- Call the state board of nursing d- Discuss the problem with another co-worker 16- During the detoxification period, what does the nurse aim to achieve when designing interventions? a- Enroll the patient in Alcoholic Anonymous (AA) b- Keep the patient safe from aspiration and seizure c- Help the patient interact in nonaddictive activities d- Help the patient gain insight into the addiction 17- A nurse suspects her a co-worker is abusing drugs. Which of the following symptoms, noticed in the coworker, would contribute to the suspicions? (Select all that apply) a- Spending more time with co-workers b- Frequently absent from the unit c- Rapid changes in mood and performance d- Increased somatic complaints e- Patients report they did not receive their medications 18- What is the best response by a nurse when a patient inquires how alcohol acts so quickly on his system? a- Alcohol is digested quickly b- Alcohol is converted to glycogen immediately c- Alcohol is metabolized into ethanol rapidly d- Alcohol is excreted in urine slowly 19- A 22-year-old patient presents in the emergency department with the characteristics of severe Parkinson disease. The nurse should suspect an overdose of what drug? a- Marijuana b- Cocaine c- Amphetamines d- Valium 20- The nurse cautions that a person who chronically abuses drugs may experience mental impairment. The area of the brain that can be affected and permanently damage is the limbic system. 21abcd- Which statement describes the impaired nurse who is in a peer assistant program? The nurse has a revoked nursing license. The nurse does not have to notify her employer. The nurse will be allowed to work as a nurse under supervision. The nurse will be reported to the Healthcare Integrity and Protection Bank. 22- What should the entire health team focus on during the rehabilitation phase? a- Establishing a support system. b- Seeking and maintaining employment c- Abstaining from drug use d- Addressing the problems related to addiction 23- Which of the following assessment findings in a patient’s health history supports a diagnosis of substance dependence? a- Numerous legal problems and interpersonal conflicts b- Continued tardiness and absenteeism from work c- Withdrawal symptoms when not using the substance d- Impaired judgment and risk-taking behaviors 24- A patient presents to the clinic with a report of fatigue and difÏculty concentrating. Which additional statement made by the patient would alert the healthcare provider to possible marijuana use? a- “I feel anxious and have trouble sleeping” b- “I’ve noticed that my eyes are red lately.” c- “I feel nauseous and don’t feel like eating.” d- “I keep having really vivid and scary nightmares” 25- A patient who has a history of chronic back pain requires a higher dose of an opioid medication in order to achieve adequate pain relief. The healthcare provider suspects that these findings are a result of which of the following? a- Tolerance b- Addiction c- Pseudoaddiction d- Dependence 26- A patient is admitted to the medical unit after experiencing chest pain. Which of these additional findings would support a diagnosis of cocaine abuse? a- Jaundice b- Profuse diarrhea c- Perforated nasal septum d- Hypotension 27- Which of the following goals would the healthcare provider identify as realistic for a patient with a substance abuse problem? a- Explore genetic anomalies associated with substance abuse b- Focus on how craving can be eliminated by enhancing willpower c- Identify situations that trigger a desire to use the substance d- Use the substance only in moderation and in certain situations 28- A patient is brought to the emergency room by a family member. The patient has been agitated for the past several hours and has alternated between grandiosity and expressing a desire to commit suicide. Upon examination the patient is diaphoretic, hypertensive, and tachycardic. Intoxication with which of the following substances would contribute to these symptoms? a- Benzodiazepine b- Methamphetamine c- Alcohol d- Marijuana