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Student HandoutChapter 17 Additional Review Questions 1. The…
Student HandoutChapter 17 Additional Review Questions
1. The defense mechanism most frequently demonstrated by the chemically dependent person is:
Undoing.
Rationalization.
Denial.
Reaction formation.
Answer:
2. Nurses know that alcohol functions as a:
Central nervous system (CNS) depressant.
CNS stimulant.
Major tranquilizer.
Minor tranquilizer.
Answer:
3. The patient who is experiencing delirium tremens is most likely to exhibit which of the following symptoms?
Tremors
Auditory hallucinations
Confusion
All of the above
Answer:
4. Sally and Susie are twins. They are 20 years old. Susie has a habit of drinking too much when they go out, and this has become more frequent. They were out celebrating their birthday last night, and this morning Susie is vomiting. Sally calls her sister’s professor. “Susie is really ill. I think she has the flu; anyway, she can’t come to class today. She said she has a test today and an assignment that she was supposed to pick up. I can come in and get the assignment for her. When can she make up the test?” Sally’s behavior might indicate:
Collaboration.
Compensation.
Lying.
Codependency.
Answer:
5. You are Sally and Susie’s friend. A therapeutic response to them might be:
“Sally and Susie, you are really going to get in trouble if you keep partying like that. It’s bad for you.”
“Sally and Susie, I care for you both, but, Susie, you misuse alcohol. You both need help. Sally, you are not helping Susie by ‘taking care’ of her; she needs to do it herself.”
“Sally, why do you keep lying for Susie? Just because she’s in trouble doesn’t mean you have to cover up for her.”
“Susie, this is just a stage you’re going through. Everybody does it; it’s not a big deal. You’re young! Have fun!”
Answer:
6. Sally and Susie seek treatment. Susie is treated as an inpatient, and Sally as an outpatient. The nurse planning discharge teaching from their programs will encourage them to:
Attend weekly AA and Al-Anon meetings.
Check back into the hospital unit weekly.
Attend weekly sessions with the psychologist.
Attend weekly Adult Children of Alcoholics meetings together.
Answer:
7. Your patient admits to using an illegal substance daily, thinking about it when not actually using it, and spending a lot of time figuring out where to get it. This patient could have:
A delusion.
DTs.
An addiction.
Dementia.
Answer:
8. One of the major skills a person or family can learn during substance abuse treatment is:
Honest communication
Codependency
Denial
Scapegoating
Answer:
9. Your spouse, an alcoholic for many years, had been sober for the past 2 years but has recently begun drinking again. To keep your spouse from driving drunk, you begin acting as his or her chauffeur. You are displaying what kind of behavior?
Dry drunk.
Codependent.
Compassionate.
Tough love.
Answer:
10. Which of the following medications is most likely to be ordered for a patient experiencing alcohol withdrawal?
Haloperidol
Chlordiazepoxide
Methadone
Chlorpromazine
Answer:
11. Your patient just attended her first AA meeting. Which statement reflects that she understands the purpose of AA?
“Once I dry out, I know I can have an occasional drink.”
“If I lose my job, AA can help me find another one.”
“AA is only for people who have hit bottom.”
“AA can help me stay sober.”
Answer:
12. A patient is suspected of methamphetamine abuse. What symptom would you be most likely to see?
Weight loss
Incontinence
Weight gain
Gastrointestinal bleed
Answer:
