C HAPTER 36: C ARE OF THE P ATIENT WITH AN
A DDICTIVE P ERSONALITY
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. If the patient tells the nurse, “I’m not an alcoholic. I can stop whenever I
want to,” what should be the nurse’s most therapeutic response?
a. “Well, why don’t you?”
b. “Hasn’t alcohol use interfered with your employment?”
c. “A positive attitude like that is a good start.”
d. “What would you call alcoholism?”
ANS: B
When the addicted person presents in denial, the nurse should use
techniques to set limits on that behavior.
DIF: Cognitive Level: Anal ysis REF: p. 1146 OBJ: 1
TOP: Addiction KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
2. When a patient denies any problems related to addicti on, what is the
nurse’s most therapeutic response?
a. “What do you call this hospitalization?”
b. “How can anybody help you if you don’t see a problem?”
c. “Would your famil y agree that you have no problems?”
, d. “Can you think of any time your behavior created an unpl easant
situation in your life?”
ANS: D
When the patient denies that his behavior is problematic, the nurse
should ask the patient to recount incidences when the behavior had
unpleasant consequences.
DIF: Cognitive Level: Anal ysis REF: p. 1146 OBJ: 1
TOP: Addiction KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
3. Which drug is often used in date rape?
a. Dalmane
b. Xanax
c. Narcan
d. Rohypnol
ANS: D
Rohypnol has been abused as a date -rape drug and has not been
approved for use in the Un ited States.
DIF: Cognitive Level: Comprehension | Cognitive Level:
Knowledge REF: p. 1149 OBJ: 6 TOP: Addiction
KEY: Nursing Process Step: Assessment MSC: NC LEX:
Psychosocial Integrity
, 4. A patient seems bewildered when he confides in the nurse that al l of his
friends and leisure time have been centered on a drug culture. Which
would be the best response by the nurse?
a. “What other sort of activities might you enjoy? ”
b. “You will need to get new friends.”
c. “Returning to those activities will get you back her e and in
trouble.”
d. “You need to get a hobby.”
ANS: A
Encouraging the patient to imagine new activities is a start toward
seeking them. Giving advice is not therapeutic.
DIF: Cognitive Level: Anal ysis REF: p. 1146 OBJ: 1
TOP: Addiction KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
5. When a patient is admitted with an overdose of an opioid narcotic, the
nurse should anticipate an order for which drug to reverse the effects of
the narcotic?
a. Clonidine
b. Narcan
c. Orlaam
d. Methadone
ANS: B
Opioid overdose treatment involves administering Narcan as prescribed
to reverse the effects of the narcotic.
A DDICTIVE P ERSONALITY
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. If the patient tells the nurse, “I’m not an alcoholic. I can stop whenever I
want to,” what should be the nurse’s most therapeutic response?
a. “Well, why don’t you?”
b. “Hasn’t alcohol use interfered with your employment?”
c. “A positive attitude like that is a good start.”
d. “What would you call alcoholism?”
ANS: B
When the addicted person presents in denial, the nurse should use
techniques to set limits on that behavior.
DIF: Cognitive Level: Anal ysis REF: p. 1146 OBJ: 1
TOP: Addiction KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
2. When a patient denies any problems related to addicti on, what is the
nurse’s most therapeutic response?
a. “What do you call this hospitalization?”
b. “How can anybody help you if you don’t see a problem?”
c. “Would your famil y agree that you have no problems?”
, d. “Can you think of any time your behavior created an unpl easant
situation in your life?”
ANS: D
When the patient denies that his behavior is problematic, the nurse
should ask the patient to recount incidences when the behavior had
unpleasant consequences.
DIF: Cognitive Level: Anal ysis REF: p. 1146 OBJ: 1
TOP: Addiction KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
3. Which drug is often used in date rape?
a. Dalmane
b. Xanax
c. Narcan
d. Rohypnol
ANS: D
Rohypnol has been abused as a date -rape drug and has not been
approved for use in the Un ited States.
DIF: Cognitive Level: Comprehension | Cognitive Level:
Knowledge REF: p. 1149 OBJ: 6 TOP: Addiction
KEY: Nursing Process Step: Assessment MSC: NC LEX:
Psychosocial Integrity
, 4. A patient seems bewildered when he confides in the nurse that al l of his
friends and leisure time have been centered on a drug culture. Which
would be the best response by the nurse?
a. “What other sort of activities might you enjoy? ”
b. “You will need to get new friends.”
c. “Returning to those activities will get you back her e and in
trouble.”
d. “You need to get a hobby.”
ANS: A
Encouraging the patient to imagine new activities is a start toward
seeking them. Giving advice is not therapeutic.
DIF: Cognitive Level: Anal ysis REF: p. 1146 OBJ: 1
TOP: Addiction KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
5. When a patient is admitted with an overdose of an opioid narcotic, the
nurse should anticipate an order for which drug to reverse the effects of
the narcotic?
a. Clonidine
b. Narcan
c. Orlaam
d. Methadone
ANS: B
Opioid overdose treatment involves administering Narcan as prescribed
to reverse the effects of the narcotic.
