VN 304 Med Surg 2 Quiz 14:
Substance- Related and Addictive
Disorders Exam
Course Title and Number: VN 304 Med Surg 2 Quiz 14: Substance-
Related and Addictive Disorders
Exam Title:
Exam Date:
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Examination
180 minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
Good Luck!
, VN 304 Med Surg 2 Quiz 14: Substance-
Related and Addictive Disorders
A patient has been diagnosed with alcoholism. A nurse tells
him that he has a physical illness with a genetic predisposition
to alcoholism, and the only effective treatment is total
abstinence from alcohol. This type of approach characterizes
which theory?
a. Biologic
b. Behavioral
c. Sociocultural
d. Intrapersonal - Answer>> a. Biologic
A nurse explains that according to the intrapersonal theory,
addiction is caused by early childhood rejection. These
substance abusers are thought to have common
characteristics. What do these characteristics include?
a. Open-boundary approach to life that likes to party frequently
b. Attention seeking, need for control, and self-centeredness
c. Shyness and anxiety
d. Stress and eagerness to be a part of the in-group -
Answer>> b. Attention seeking, need for control, and self-
centeredness
During the taking of a medical history, a patient who is addicted
to heroin reports he only uses the drug a few times a week.
What is the nurses best response when trying to disclose more
precise information?
a. OK. You only use heroin two times a week?
b. What do you mean when you say a few?
c. Are you saying that in a weeks time would you use heroin
only two times?
d. Rate your weekly usage on a scale of 1 to 15 - Answer>> .
Rate your weekly usage on a scale of 1 to 15
, A patient who is has alcoholism with a history of heavy drinking
is brought to the inpatient psychiatric unit saying that he does
not know where he is or what day it is. What should the nurse
suspect he is exhibiting?
a. Delirium
b. Alcoholic dementia
c. Blackout
d. Amnesia - Answer>> c. Blackout
A nurse is discharging a patient with a pulmonary disorder to
return home with her family. She has had a difficult time while
in the hospital and has experienced withdrawal from tobacco.
When the nurse tells her that community resources are
available to help her to stop smoking, she says, Thats OK. I
can stop whenever I want to. What does this exemplify?
a. Rationalization
b. Denial
c. Intellectualization
d. Projection - Answer>> b. Denial
A patient with an alcohol addiction says, My drinking is all my
wifes fault. She makes me so crazy I just have to have a drink.
What does this exemplify?
a. Rationalization
b. Denial
c. Intellectualization
d. Projection - Answer>> d. Projection
Which information about a patient should lead a nurse to
suspect substance abuse?
a. Abnormal liver function test result and a gastrointestinal (GI)
bleed
b. Positive syphilis screening result and varicose veins
c. Fungal infection and a potassium level of 4.2. mEq/L
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