Nursing A Concept Based Approach to Learning Volume II 2nd Ed - Test Bank

Nursing: A Concept-Based Approach to Learning, 2e (Pearson)

Module 22   Addiction

The Concept of Addiction

1) While practicing at an outpatient addiction clinic, the nurse is summarizing a diagram in the orientation handbook for a new associate she is precepting. Which statement most closely aligns with the meaning of this diagram?

A) Addiction involves an alteration in the amount of available neurotransmitters.

B) Actions at the neurotransmitter level affecting addiction are not genetic.

C) High self-esteem as a basis for pleasure seeking lowers neurotransmitter levels.

D) An addictive personality is identified by differences in the processing of neurotransmitters.

Answer:  A

Explanation:  A) Substances of addiction alter the amount of available neurotransmitters, including dopamine, serotonin, and norepinephrine. Several genes have been identified that seem to influence the risk for alcohol dependence. Low self-esteem increases the risk for addiction. No addictive personality type has been identified.

B) Substances of addiction alter the amount of available neurotransmitters, including dopamine, serotonin, and norepinephrine. Several genes have been identified that seem to influence the risk for alcohol dependence. Low self-esteem increases the risk for addiction. No addictive personality type has been identified.

C) Substances of addiction alter the amount of available neurotransmitters, including dopamine, serotonin, and norepinephrine. Several genes have been identified that seem to influence the risk for alcohol dependence. Low self-esteem increases the risk for addiction. No addictive personality type has been identified.

D) Substances of addiction alter the amount of available neurotransmitters, including dopamine, serotonin, and norepinephrine. Several genes have been identified that seem to influence the risk for alcohol dependence. Low self-esteem increases the risk for addiction. No addictive personality type has been identified.

Page Ref: 1520

Cognitive Level:  Analyzing

Client Need:  Physiological Integrity

Client Need Sub:  Physiological Adaptation

Nursing Process:  Assessment

Learning Outcome:  1. Summarize the physiological and psychological processes that contribute to addiction.

2) During a class for college seniors, a participant admits to frequently using alcohol. What is the priority action of the nurse?

A) Initiate a community assessment of the campus.

B) Contact the campus nurse and refer the student.

C) Notify campus security to watch for driving under the influence.

D) Complete a crisis assessment.

Answer:  D

Explanation:  A) In a trusting relationship, the nurse will complete a crisis assessment to determine the appropriate action. Contacting the campus nurse is not advised without the student's permission. There is no evidence that the student is driving under the influence.

B) In a trusting relationship, the nurse will complete a crisis assessment to determine the appropriate action. Contacting the campus nurse is not advised without the student's permission. There is no evidence that the student is driving under the influence.

C) In a trusting relationship, the nurse will complete a crisis assessment to determine the appropriate action. Contacting the campus nurse is not advised without the student's permission. There is no evidence that the student is driving under the influence.

D) In a trusting relationship, the nurse will complete a crisis assessment to determine the appropriate action. Contacting the campus nurse is not advised without the student's permission. There is no evidence that the student is driving under the influence.

Page Ref: 1527

Cognitive Level:  Applying

Client Need:  Health Promotion and Maintenance

Nursing Process:  Implementation

Learning Outcome:  4. Differentiate assessments of addictions across the life span.