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Chapter 14 Impulsivity, compulsivity, and addiction
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Chapter 14 Impulsivity, compulsivity, and addiction
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Chapter 14 Impulsivity, compulsivity, and addictionMULTIPLE 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
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?
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
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