Chapter 19 Addiction

Question 1

Intoxication

Answer 1

is use of a substance that results in maladaptive behavior

Question 2

Withdrawal syndrome

Answer 2

refers to the negative psychological and physical reactions that occur
when use of a substance ceases or dramatically decreases

Question 3

Detoxification

Answer 3

is the process of safely withdrawing from a substance.

Question 4

blackout

Answer 4

is an episode during which the
person continues to function but has no conscious awareness of his or her behavior at the time or any later memory of the behavior.

Question 5

tolerance for alcohol

Answer 5

needs more alcohol to produce the same effect

Question 6

tolerance break

Answer 6

which means that very small amounts of alcohol intoxicate the person.

Question 7

Spontaneous remission or natural recovery.

Answer 7

some people with alcohol-related

problems can modify or quit drinking on their own without a treatment program

Question 8

flushing

Answer 8

reddening of the face and neck as a result of increased blood flow

Question 9

Tapering

Answer 9

administering decreasing doses of medication to prevent coma or death that could occur if the drug is stopped abruptly

Question 10

_______ and ______ are the most frequently abused

Answer 10

Benzodiazepines and barbiturates

Question 11

Detoxification from sedatives, hypnotics, and anxiolytics is often medically managed by ______

Answer 11

tapering

Question 12

Clonidine (Catapres) is prescribed for symptoms of opioid withdrawal. Which nursing assessment is essential before giving a dose of this medication?

a. Assessing the client’s blood pressure
b. Determining when the client last used an opiate
c. Monitoring the client for tremors
d. Completing a thorough physical assessment

Answer 12

a. Assessing the client’s blood pressure

Question 13

Which behaviors would indicate stimulant
intoxication?
a. Slurred speech, unsteady gait, impaired
concentration
b. Hyperactivity, talkativeness, euphoria
c. Relaxed inhibitions, increased appetite, distorted
perceptions
d. Depersonalization, dilated pupils, visual
hallucinations

Answer 13

b. Hyperactivity, talkativeness, euphoria

Question 14

The 12 steps of AA teach that
a. acceptance of being an alcoholic will prevent urges to drink.
b. a higher power will protect individuals if they feel like drinking.
C.once a person has learned to be sober, he or she can graduate and leave AA.
d. once a person is sober, he or she remains at risk for drinking.

Answer 14

d. once a person is sober, he or she remains at risk for drinking

Question 15

The nurse has provided an in-service program on impaired professionals. She knows that teaching has been effective when staff identify which as the highest risk
for substance abuse among professionals?
a. Most nurses are codependent in their personal and professional relationships.
b. Most nurses come from dysfunctional families and are at risk for developing addiction.
c. Most nurses are exposed to various substances and believe they are not at risk of developing the disease.
d. Most nurses have preconceived ideas about what kind of people become addicted.

Answer 15

c. Most nurses are exposed to various substances and believe they are not at risk of developing the disease.

Question 16

A client comes to day treatment intoxicated but says
he is not. The nurse identifies that the client is exhibiting symptoms of
a. denial.
b. reaction formation.
c. projection.
d. transference.

Answer 16

a. denial.

Question 17

The client tells the nurse that she has a drink every morning to calm her nerves and stop her tremors. The nurse realizes the client is at risk for

a. an anxiety disorder.
b. a neurologic disorder.
c. physical dependence.
d. psychological addiction.

Answer 17

c. physical dependence.

Question 18

MULTIPLE RESPONSE QUESTIONS
1. Which conditions would the nurse recognize as signs
of alcohol withdrawal?
a. Blackouts
b. Diaphoresis
c. Elevated blood pressure
d. Lethargy
e. Nausea
f. Tremulousness

Answer 18

b. Diaphoresis
c. Elevated blood pressure
e. Nausea
f. Tremulousness

Question 19

The nurse would recognize which drugs as central nervous system depressants?
a. Cannabis
b. Diazepam (Valium)
C. Heroin
d. Meperidine (Demerol)
e. Phenobarbital
f. Whiskey

Answer 19

b. Diazepam (Valium)
e. Phenobarbital
f. Whiskey