Based Approach to
Learning, Volume 2
5th edition
Pearson
TEST BANK
Includes All Modules (22 to 51)
**Answers Included
, Nursing: A Concept Based Approach to
Learning, Volume 2 5th edition
Latest Edition - Test Bank
Module 22: Addiction
Module 23: Cognition
Module 24: Culture and Diversity
Module 25: Development
Module 26: Family
Module 27: Grief and Loss
Module 28: Mood and Affect
Module 29: Self
Module 30: Spirituality
Module 31: Stress and Coping
Module 32: Trauma
Module 33: Reproduction
Module 34: Assessment
Module 35: Caring Interventions
Module 36: Clinical Decision Making
Module 37: Collaboration
Module 38: Communication
Module 39: Managing Care
Module 40: Professionalism
Module 41: Teaching and Learning
Module 42: Accountability
Module 43: Advocacy
Module 44: Ethics
Module 45: Evidence-Based Practice Module 46:
Healthcare Systems Module 47: Health Policy
Module 48: Informatics
Module 49: Legal Issues
Module 50: Quality Improvement
Module 51: Safety
,Nursing: A Concept-Based Approach to Learning Vol. 2, 5e (Pearson)
Module 22 Addiction
The Concept of Addiction
1) The nurse at a substance use rehabilitation clinic uses a diagram as a teaching tool. In which way
should the nurse interpret this diagram?
A) Most substances that are used either imitate or block the action of neurotransmi?ers.
B) In order to be addictive, a substance must cause the release of excess neurotransmi?ers.
C) Substances that exert antagonistic effects can be used to counteract the addictive tendencies of
substances that exert agonistic effects.
D) People with addictive personalities process neurotransmi?ers differently than people who are less
prone to addiction.
Answer: A
Explanation: A) Most substances that are used either mimic or block neurotransmi?ers at critical
receptor sites.
B) These drugs exert agonistic effects if they boost neurotransmi?er synthesis, increase neurotransmi?er
release, or activate receptors that normally respond to neurotransmi?ers.
C) Substances that are used exert antagonistic effects if they interfere with neurotransmi?er release,
occupy receptor sites that are normally sensitive to neurotransmi?ers, or cause leakage of
neurotransmi?ers from synaptic vesicles. Both drugs with agonistic effects and those with antagonistic
effects can be addictive, and administering one class of drug will not counteract the addictive tendencies
of the other class.
D) Researchers have not identified an addictive personality type.
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and
processes. | AACN Domains and Competencies: 2.6 Demonstrate accountability for care delivery. | NLN
Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe
patient care. | Nursing Process: Implementation: Take Action
Learning Outcome: 22.1. Summarize the processes involved in addiction.
MNL LO: Analyze the concept of addiction and its application to nursing care.
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, 2) During a teaching session about alcohol use, a college student admits to frequent alcohol use. Which
action should the nurse take?
A) Initiate a community assessment of the campus
B) Refer the student for counseling
C) Notify campus security about intoxicated students
D) Complete a crisis assessment with the student
Answer: D
Explanation: A) A community assessment is not necessary at this time because the issue appears to be
limited to this particular student.
B) There is no need to refer the student for counseling at this time.
C) There is no evidence that students are driving while intoxicated.
D) The student should be assessed to determine the reason for frequent alcohol use. This crisis
assessment will allow the nurse to determine the appropriate course of action.
Cognitive Level: Applying
Client Need/Sub: Psychosocial Integrity
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-
centered care. | AACN Domains and Competencies: 2.3 Integrate assessment skills in practice. | NLN
Competencies: Relationship Centered Care: Effective communication. | Nursing Process: Assessment |
CJMM: Analyze Cues
Learning Outcome: 22.5. Differentiate common assessment procedures and tests used to examine
individuals suspected of abusing a substance.
MNL LO: Analyze the concept of addiction and its application to nursing care.
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