Chapter 62: Substance Abuse
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. A wife of a man with long-term alcoholism wants to help her husband quit drinking: the
nurse tells her that an initial approach might be for a group of friends and family to
confront the patient with his alcoholism: What should this group be prepared to indicate
during this confrontation?
a. He needs help; his drinking is out of hand:
b. They are fed up with him and will no longer be his friend:
c. They reject his drinking but think he is a valuable person:
d. He is still their friend even if he does not stop drinking:
ANS: C
The implementation for encouraging an alcoholic to go into treatment consists of a
group of people telling the alcoholic that they think his drinking is destructive, but
they do not reject him as a person:
DIF: Cognitive Level: Comprehension REF: p: 1228 OBJ: 6
TOP: Implementation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
2. A nurse recommends to an alcoholic that he join Alcoholics Anonymous: What is true
about this organization?
a. Based on a 12-step approach with a strong religious base
b. A social group of ex-drinkers who befriend one another in the process of
maintaining sobriety
c. A religious support group that assists alcoholics during rehabilitation
d. An anonymous group of sponsors who offer help to alcoholics
ANS: A
Alcoholics Anonymous is a group of people who come together to offer support to
, each other to stay sober: It has a religious base, recognizes a higher power, and uses a
12-step approach to sobriety:
DIF: Cognitive Level: Comprehension REF: p: 1228 OBJ: 6
TOP: Rehabilitation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychological Integrity: Coping and Adaptation
3. What should be avoided to prevent the accidental activation of Antabuse?
a. Aged cheese
b. Pickled foods
c. Mouthwash
d. Chocolate candy
ANS: C
Mouthwash contains alcohol and can trigger the effect of an Antabuse reaction: the
alcoholic taking Antabuse needs to be aware of the hidden alcohol in some commonly
used mouthwashes and other over-the-counter drugs:
DIF: Cognitive Level: Application REF: p: 1231 OBJ: 6
TOP: Medications KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
4. A nurse in the admissions unit is informed that a patient is being brought in who has been
using “ice:” What should the nurse assess?
a. Extreme dehydration
b. Coma
c. Dangerous hypertension
d. Violent behaviour
ANS: D
Persons who use “ice,” a form of methamphetamine, are frequently violent while
under its influence: the effect of “ice” can last as long as 12 to 14 hours:
DIF: Cognitive Level: Comprehension REF: p: 1234 OBJ: 3
TOP: Stimulants KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. A wife of a man with long-term alcoholism wants to help her husband quit drinking: the
nurse tells her that an initial approach might be for a group of friends and family to
confront the patient with his alcoholism: What should this group be prepared to indicate
during this confrontation?
a. He needs help; his drinking is out of hand:
b. They are fed up with him and will no longer be his friend:
c. They reject his drinking but think he is a valuable person:
d. He is still their friend even if he does not stop drinking:
ANS: C
The implementation for encouraging an alcoholic to go into treatment consists of a
group of people telling the alcoholic that they think his drinking is destructive, but
they do not reject him as a person:
DIF: Cognitive Level: Comprehension REF: p: 1228 OBJ: 6
TOP: Implementation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
2. A nurse recommends to an alcoholic that he join Alcoholics Anonymous: What is true
about this organization?
a. Based on a 12-step approach with a strong religious base
b. A social group of ex-drinkers who befriend one another in the process of
maintaining sobriety
c. A religious support group that assists alcoholics during rehabilitation
d. An anonymous group of sponsors who offer help to alcoholics
ANS: A
Alcoholics Anonymous is a group of people who come together to offer support to
, each other to stay sober: It has a religious base, recognizes a higher power, and uses a
12-step approach to sobriety:
DIF: Cognitive Level: Comprehension REF: p: 1228 OBJ: 6
TOP: Rehabilitation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychological Integrity: Coping and Adaptation
3. What should be avoided to prevent the accidental activation of Antabuse?
a. Aged cheese
b. Pickled foods
c. Mouthwash
d. Chocolate candy
ANS: C
Mouthwash contains alcohol and can trigger the effect of an Antabuse reaction: the
alcoholic taking Antabuse needs to be aware of the hidden alcohol in some commonly
used mouthwashes and other over-the-counter drugs:
DIF: Cognitive Level: Application REF: p: 1231 OBJ: 6
TOP: Medications KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
4. A nurse in the admissions unit is informed that a patient is being brought in who has been
using “ice:” What should the nurse assess?
a. Extreme dehydration
b. Coma
c. Dangerous hypertension
d. Violent behaviour
ANS: D
Persons who use “ice,” a form of methamphetamine, are frequently violent while
under its influence: the effect of “ice” can last as long as 12 to 14 hours:
DIF: Cognitive Level: Comprehension REF: p: 1234 OBJ: 3
TOP: Stimulants KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
