Substance Abuse, Eating Disorders, Impulse Control Disorders

When doing discharge planning for a hospitalized client with impulse control disorder, a nurse explains how family members can participate effectively in the client's ongoing care. What instruction should the nurse include? "After every explosive outburst, reevaluate and change the approach you use." "Recognize initial anger symptoms as soon as possible and have him take medication." "Consistently reward positive behavior and reinforce consequences of negative behavior." "Persuade him to go to an emergency department and request medication."

"Consistently reward positive behavior and reinforce consequences of negative behavior."

A client with alcohol dependency is prescribed a B-complex vitamin. The client states, "Why do I need a vitamin? My appetite is just fine." Which of the following responses by the nurse is most appropriate? "Your doctor wants you to take it for at least 4 months." "You've been drinking alcohol and eating very little." "The vitamin is a nutritional supplement important to your health." "The amount of vitamins in the alcohol you drink is very low."

"The vitamin is a nutritional supplement important to your health."

A client struggling with a binge eating disorder tells a nurse, "I don't know why I eat the way I do each night." What question would be most helpful for the nurse to ask this client? "What do you do when you feel stressed or upset?" "Do you worry that bad things will happen to you?" "Are there periods of time at night that you can't account for?" "Have you experienced changes in your leisure activities?"

"What do you do when you feel stressed or upset?"

On admission a client reports taking disulfiram as part of their home medications. What would the nurse need to be aware of when coordinating the client's other medications? Avoid all products containing alcohol. Collaborate with the doctor for vitamin B therapy. Assess the patient for liver injury. Increase the client's fall risk if taken with antidepressants.

Avoid all products containing alcohol.

A client is withdrawing from heroin and is experiencing muscle aches. Which approach by the nurse would be most effective? Be empathetic but firm. Promise to eliminate the client's discomfort. Discuss minor discomforts that may occur. Encourage the client to take warm baths.

Encourage the client to take warm baths.

A client is beginning to participate in the alcohol treatment program. Which nursing approach would be most effective in decreasing their denial about their alcoholism? Give him reading materials about the disease of alcoholism. Point out concrete problems that are a direct consequence of his alcoholism. Explain the physiologic effects of alcohol on the body. Teach them assertiveness techniques.

Point out concrete problems that are a direct consequence of his alcoholism.

An intoxicated client is admitted to the hospital for alcohol withdrawal. What should the nurse do to help the client become sober? Give the client black coffee to drink. Walk the client around the unit. Have the client take a cold shower. Provide the client with a quiet room to sleep in.

Provide the client with a quiet room to sleep in.

A school nurse is completing height and weight screenings. A young client appears underweight for their height and also appears to have hair loss. As the client steps on to the scale, the client begins to cry. Which nursing intervention is most appropriate? Weigh the client next month with the absent students. Inform the client that they have to gain weight. Tell the client that they are thin and look fine. Request that the client stand backward on the scale when being weighed.

Request that the client stand backward on the scale when being weighed.

The nurse provides care to a client with chemical dependency. What are the primary nursing considerations for this client? Select all that apply. Teach the client to deal with life stressors through coping skills. Support the client's decision to stop substance use. Encourage the client to make restitution for the wrongs committed while using. Promote family interaction and involvement in the rehabilitation process. Encourage the client's family to take responsibility for the client.

Teach the client to deal with life stressors through coping skills. Support the client's decision to stop substance use. Promote family interaction and involvement in the rehabilitation process.

A client experiencing acute alcohol withdrawal is upset about going through detoxification. Which goal should be the priority for the nurse? The client will commit to a drug-free lifestyle. The client will work with the nurse to remain safe. The client will drink adequate fluids daily. The client will make a personal inventory of strengths.

The client will work with the nurse to remain safe.

A child being treated for conduct disorder is the last person on the unit selected for an activity. The nurse should expect the client to demonstrate: tearfulness. aggression. withdrawal. apathy.

aggression.

Which drugs may be abused because of tolerance and physiologic dependence? lithium and divalproex verapamil and chlorpromazine alprazolam and phenobarbital clozapine and amitriptyline hydrochloride

alprazolam and phenobarbital

A client is remanded by the courts for psychiatric treatment. The police record, which dates to the client's early teenage years, includes delinquency, running away, auto theft, and vandalism. The client dropped out of school at age 16 and has been living alone then. This history suggests maladaptive coping, which is associated with: antisocial personality disorder. borderline personality disorder. obsessive-compulsive personality disorder. narcissistic personality disorder.

antisocial personality disorder

When developing a therapeutic relationship with a client who has withdrawn from alcohol, the nurse should first set goals with the client that involve which behavior? developing effective coping skills listing reasons for why the client abuses alcohol discussing family role responsibilities delving into painful childhood experiences

developing effective coping skills

A client experiencing alcohol withdrawal exhibits tremors, diaphoresis, and hyperactivity. Blood pressure is 190/87 mm Hg, and pulse is 92 bpm. Which medication should the nurse expect to administer? haloperidol lorazepam benztropine naloxone

lorazepam

The nurse cares for a client who has bipolar disorder and alcohol use disorder. Which area is the priority for daily assessment? sleep pattern mental status eating habits self-care ability

mental status

When planning care for a client who has ingested phencyclidine (PCP), the nurse's highest priority should be meeting the client's: physical needs. safety needs. psychosocial needs. medical needs.

safety needs.

The nurse assesses a client with a history of heroin use. Which finding should the nurse expect to assess for a client who is exhibiting late signs of heroin withdrawal? vomiting and diarrhea yawning and diaphoresis lacrimation and rhinorrhea restlessness and irritability

vomiting and diarrhea

The nurse is teaching unlicensed staff about caring for the client with alcohol dependency. Which statement by the staff indicates the need for additional teaching? "Alcohol dependency affects the entire family." "The client is a weak individual and could stop if they desire." "Alcohol is a problem when it interferes with the client's daily life." "The client who cannot stop drinking, even though they want to, is alcohol dependent."

"The client is a weak individual and could stop if they desire."

A nurse works with a client diagnosed with bulimia. What is the most appropriate long-term client goal for this client? Eat meals at home without bingeing or purging. Be able to eat out without bingeing or purging. Manage stresses in life without bingeing or purging. Be able to attend college without bingeing or purging.

Manage stresses in life without bingeing or purging.

A child with aggressive and impulsive behaviors is admitted to the child psychiatric unit with a diagnosis of a conduct disorder. Which intervention is appropriate? Allow autonomy. Elicit feelings descriptions. Set limits. Teach assertiveness.

Set limits.

A nurse is developing a care plan for a client with anorexia nervosa. Which action should the nurse include in the plan? Restrict visits with family members until the client begins to eat. Provide privacy for the client during meals. Set up a strict eating plan with the client. Encourage the client to exercise, to reduce anxiety.

Set up a strict eating plan with the client.

A client is admitted to the emergency department with an elevated blood alcohol level. The authorities state the client was driving on the wrong side of the road. The client is transferred to the acute care unit where they awaken the next morning. Vital signs are stable, and the client has a headache. What action should the nurse take first when caring for this client? Work through personal feelings related to substance use disorder. Be persistent with the client regarding the substance use disorder. Help to make abstinence and sobriety worthwhile for the client. Suggest a treatment program within the client's home area.

Work through personal feelings related to substance use disorder.

When teaching a client with bulimia nervosa about possible complications, which condition should the nurse emphasize? allergies lung cancer diabetes mellitus hepatitis A

diabetes mellitus

A client is brought to the emergency department after being beaten by the spouse, a prominent attorney. The client describes the spouse's upbringing as chaotic. The nurse caring for this client understands that this situation is consistent with which fact about family violence: open boundaries are common in violent families. violence usually results from a power struggle. domestic violence and abuse span all socioeconomic classes. violent behavior is a genetic trait passed from one generation to the next.

domestic violence and abuse span all socioeconomic classes.

The spouse of a client with alcohol dependency tells the nurse, "I'm tired of making excuses to their boss and coworkers when they can't make it into work. I believe them every time they say they're going to quit drinking." The nurse recognizes the spouse's statement as indicating which behavior? helpfulness self-defeat enabling masochism

enabling

A nurse is caring for a young child who is experiencing verbal tics and motor tics such as eye blinking and protruding the tongue. Based on this assessment, which medication would the nurse consider administering? fluoxetine fluvoxamine haloperidol paroxetine

haloperidol

A client is in the emergency department with their partner. The client is just recovering from a temporary drug-induced psychosis from lysergic acid diethylamide (LSD). The client is still frightened and a little suspicious. Which nursing action is most appropriate? having an unlicensed assistive personnel (UAP) stay with the client to decrease the client's fear placing the client next to the nursing desk leaving the client alone until the "trip" is over having the partnet check on the client frequently

having an unlicensed assistive personnel (UAP) stay with the client to decrease the client's fear

A client is prescribed chlordiazepoxide as needed to control the symptoms of alcohol withdrawal. Which symptoms may indicate the need for an additional dose of this medication? Select all that apply. tachycardia mood swings elevated blood pressure and temperature piloerection tremors increasing anxiety

tachycardia elevated blood pressure and temperature tremors

A client is brought to the psychiatric clinic by family members, who tell the admitting nurse that the client repeatedly drives while intoxicated despite their pleas for the client to stop doing so. During an interview with the nurse, which client statement most strongly supports a diagnosis of a substance use disorder? "I use drinking as a means for staying social with some friends." "I spend only half of my paycheck at the bar. My friends spend more!" "I just drink to relax after work because I have a very stressful job." "I have been arrested for drunk driving three times, but I never had an accident."

"I have been arrested for drunk driving three times, but I never had an accident."

The nurse is working with a highly culturally diverse group of mostly young adult clients who have substance abuse issues. Many clients in the group have had difficult social circumstances and experience relapses. What would be the most appropriate nursing intervention in dealing with these clients? Encourage motivation and confidence so that the clients can better deal with the triggers that cause them to repeat their behaviors. Demonstrate zero tolerance to relapse and provide a firm approach so the clients can repair character weaknesses now, while they are still young. Brainstorm and develop new coping strategies to share with the young adults weekly to keep a constant supply of options. Provide reassurance that the problem will resolve itself in time.

Encourage motivation and confidence so that the clients can better deal with the triggers that cause them to repeat their behaviors.

A client with a diagnosis of anorexia nervosa is admitted to the psychiatric unit. The client is 5′ 8″ (1.7 m) tall, weighs only 103 lb (46.7 kg), and talks incessantly about how fat the client is. Which measure should the nurse take first when caring for this client? Teach the client about nutrition, calories, and a balanced diet. Establish a trusting relationship with the client. Discuss cultural stereotypes regarding thinness and attractiveness. Explore the reasons why the client doesn't eat.

Establish a trusting relationship with the client.

A client is admitted to the psychiatric hospital for evaluation after numerous incidents of threatening others, angry outbursts, and two episodes of hitting a coworker at the client's place of employment. The client is very anxious and tells the nurse, "I didn't mean to hit them. They made me so mad that I just couldn't help it. I hope I don't hit anyone here." To ensure a safe environment, what should the nurse do first? Let other clients know that the client has a history of hitting others so that they will not provoke the client. Put the client in a private room, and limit the client's time out of the room to when staff can be with the client. Tell the client that hitting others is unacceptable behavior, and ask the client to tell a staff member when feeling angry. Obtain a prescription for a medication to be administered to decrease the client's anxiety and threatening behavior.

Tell the client that hitting others is unacceptable behavior, and ask the client to tell a staff member when feeling angry.

A nurse is evaluating for treatment effectiveness in a client being discharged from the intensive outpatient drug and alcohol clinic. Which client behavior would the nurse evaluate as a positive treatment outcome? The client is following a regular sleeping routine. The client is participating in scheduled group meetings. The client is planning to engage in social activities. The client is applying the clinic rules to others.

The client is participating in scheduled group meetings.

A client on the adolescent psychiatric unit was admitted with a diagnosis of body dysmorphic disorder. The client has not been able to attend school or their part-time work over the past year as a result of certain body obsessions. Recently, the client shaved the hair all over their body, claiming, "It is all growing weird." What component of therapy would be most important for the nurse to apply to this client? The client's body image is real to the client. There may be a true minor defect. The client has an underlying psychosis. The client is at high risk for suicide.

The client's body image is real to the client.

A nurse is evaluating a client for probable amphetamine overdose. Which assessment finding supports this diagnosis? hypotension tachycardia hot, dry skin constricted pupils

tachycardia

A client is admitted for an overdose of amphetamines. When assessing this client, the nurse should expect to see: tension and irritability. slow pulse. hypotension. constipation.

tension and irritability.

After completing chemical detoxification and a 12-step program to treat crack addiction, a client is being prepared for discharge. Which remark by the client indicates a realistic view of the future? "If I just take it one day at a time, I am sure I will never use crack again." "With the support of my family and treatment, I will be able to reduce my crack use." "I know it is going to be hard and relapse is a possibility. I will need help." "If I can get into a good rehab facility, I know this will prevent me from using again."

"I know it is going to be hard and relapse is a possibility. I will need help."

Which nursing statement is most effective when the nurse is trying to defuse a client's impending violent behavior? "Let's talk about what happened to make you this angry." "This is a good time for you to play cards with me." "Do you feel you need to be alone in your room?" "The crisis team and I will escort you to the seclusion room."

"Let's talk about what happened to make you this angry."

A client is entering rehabilitation for alcohol dependency as an alternative to going to jail for multiple arrests for driving under the influence. While obtaining the client's history, the nurse asks about the amount of alcohol the client consumes daily. The client responds, "I just have a few drinks with my friends after work." Which response by the nurse is most therapeutic? "That's what all the clients here say at first." "Then you should have had a designated driver for yourself." "I guess you just can't handle a few drinks." "You say you have a few drinks, but you have multiple arrests."

"You say you have a few drinks, but you have multiple arrests."

When assessing a client withdrawing from alcohol, the nurse notes that the client is anxious, experiencing nausea, is restless, and has a tremor when both arms are extended. What should the nurse do next? Continue to assess the client. Move the client to a quieter room. Administer a benzodiazepine as prescribed. Transfer the client to an acute care psychiatric unit.

Administer a benzodiazepine as prescribed.

Eighteen hours after undergoing an emergency appendectomy, a client with a reported history of social drinking displays these vital signs: temperature, 101.6° F (38.7° C); heart rate, 126 beats/minute; respiratory rate, 24 breaths/minute; and blood pressure, 140/96 mm Hg. The client exhibits gross hand tremors and is screaming for someone to kill the bugs in the bed. The nurse should suspect: a postoperative infection. alcohol withdrawal. septicemia. alcohol hallucinosis.

alcohol withdrawal.

A client admitted for alcohol detoxification is taking disulfiram. The nurse should instruct the client to avoid ingestion of which food(s) or liquid(s)? Select all that apply. aged cheese beer communal wine at church chocolates cough syrup

beer communal wine at church cough syrup

In the emergency department, a client with facial lacerations states that the spouse beat the client with a shoe. After the lacerations are repaired, the client waits to be seen by the crisis intake nurse, who will evaluate the continued threat of violence the spouse represents. Suddenly the client's spouse arrives, shouting a desire to "finish the job." What is the first priority of the nurse who witnesses this scene? remaining with the client and staying calm calling a security guard and another staff member for assistance saying that the client's spouse must leave at once determining why the spouse feels so angry

calling a security guard and another staff member for assistance

A client who reports consuming 1 qt (1 L) of vodka daily is admitted for alcohol detoxification. The nurse anticipates the need to teach the client about which medication? clozapine thiothixene lorazepam lithium carbonate

lorazepam

A nurse performing an assessment determines that a client with anorexia nervosa is currently unemployed and has a family history of affective disorders, obesity, and infertility. Based on this information, the nurse should monitor the client for which health concern? alcohol abuse avoidance behavior suicide potential explosive outbursts

suicide potential

A hospitalized client craves a drink after withdrawing from alcohol. Which measure is the best way to help the client resist the urge to drink? a locked-door policy a routine search of visitors one-to-one supervision by the staff support from other clients with alcoholism

support from other clients with alcoholism

A nurse plans to include the parents of a client with anorexia nervosa in the client's therapy sessions. The nurse should anticipate that the parents will: tend to overprotect their child. have a history of substance abuse. maintain emotional distance from their child. alternate between expressing love for and rejection of their child.

tend to overprotect their child.

A client, who was hospitalized after a fall sustained while intoxicated, experienced alcohol withdrawal delirium during the hospitalization. A few days after the client's sensorium clears, the client tells the nurse that drinking helps to cope with anxiety related to a recent divorce. Which response by the nurse would help the client view the drinking more objectively? "I'm sure you must realize that sooner or later your drinking will kill you." "I hear defensiveness. You don't really believe what you're saying, do you?" "If the alcohol was helping you cope so well, you wouldn't be here, would you?" "Tell me about the last time you were under a lot of stress and drinking to cope."

"Tell me about the last time you were under a lot of stress and drinking to cope."

Which medication is appropriate to administer, if prescribed, to a client experiencing symptoms of early alcohol withdrawal? disulfiram lorazepam quetiapine temazepam

lorazepam

The nurse should suspect that the client taking disulfiram has ingested alcohol when the client exhibits which symptom? sore throat and muscle aches nausea and flushing of the face and neck fever and muscle soreness bradycardia and vertigo

nausea and flushing of the face and neck

A client with a history of cocaine addiction is admitted to the coronary care unit for evaluation of substernal chest pain. The electrocardiogram (ECG) shows a 1-mm ST-segment elevation in the anteroseptal leads and T-wave inversion in leads V3 to V5. Which medication should the nurse prepare to administer? lidocaine procainamide nitroglycerin epinephrine

nitroglycerin

A client begins to experience alcoholic hallucinosis. After administering medication, what is the best nursing intervention? keeping the client restrained in bed checking the client's blood pressure every 15 minutes providing a quiet environment offering the client oral liquids every 30 minutes

providing a quiet environment

The nurse plans care for a client experiencing alcohol withdrawal. Which food should the nurse eliminate from the client's diet? milk regular coffee orange juice eggs

regular coffee

A client with bulimia binges twice a day. The nurse interprets these binges as most likely involving which factor for the client? feeling euphoria and gratification feeling out of control and disgusted with self leaving traces of food around to attract attention eating increasing amounts of food for substantial weight gain

feeling out of control and disgusted with self

The nurse is assessing a client for heroin addiction. Which finding indicates the client has used heroin? sclera red and bloodshot pupils small and constricted pupils large and dilated drooping eyelids

pupils small and constricted

A client is prescribed clonidine to treat alcohol withdrawal. Which assessment data will the nurse monitor for? hypotension polyuria numbness and tingling tremors

hypotension

A severely dehydrated adolescent admitted to the hospital with hypotension and tachycardia undergoes evaluation for electrolyte disturbances. The client's history includes anorexia nervosa and a 20-lb (9.1-kg) weight loss in the past month. She is 5′ 7″ (1.7 m) tall and weighs 80 lb (36.3 kg). Which nursing intervention takes highest priority? initiating caloric and nutritional therapy as ordered instituting behavioral modification therapy as ordered addressing the client's low self-esteem monitoring vital signs and weight regularly

initiating caloric and nutritional therapy as ordered

A client with a diagnosis of alcohol intoxication and suspected alcohol dependence is admitted to the psychiatric unit. Other assessment findings include an enlarged liver; jaundice; lethargy; and rambling, incoherent speech. No other information about the client is available. After the nurse completes the initial assessment, what should the first priority be? instituting seizure precautions, obtaining vital signs frequently, and recording fluid intake and output checking the client's medical records for health history information attempting to contact the family to obtain more information about the client restricting fluids and leaving the client alone to "sleep off" the episode

instituting seizure precautions, obtaining vital signs frequently, and recording fluid intake and output

One of the goals for a client with anorexia nervosa is for the client to demonstrate increased individual coping by responding to stress in constructive ways. Which intervention will the nurse discuss with the client as the best way to work toward meeting the goal? engaging in an enjoyable cardiovascular exercise daily studying the practices of mindfulness and meditation keeping a personal journal and discussing it with the nurse connecting with family and friends through phone calls

keeping a personal journal and discussing it with the nurse

A nurse assists a student nurse conducting an interview with the family of a 4-year-old child who is often disruptive in preschool class, is difficult to engage, and rarely speaks. Which question, if asked by the student, would require intervention by the nurse? "Has your child received all their childhood immunizations? There is evidence that childhood immunizations play a role in the development of autism." "Has your child been evaluated by a pediatrician? They seem to have some behaviors that are atypical for a child of their age." "How does your child behave at home? If you do not see acting-out behavior at home, part of their problem may be dealing with new situations such as school." "How do you respond if they disobey or act out at home? If your techniques help stop or prevent negative behavior, perhaps the teachers can try similar measures at school."

"Has your child received all their childhood immunizations? There is evidence that childhood immunizations play a role in the development of autism."

A 68-year-old client is admitted to the addiction unit after treatment in the emergency department for an overdose of oxycodone. The client's adult child calls the unit and expresses intense anger that their parent is being treated as a "common street addict." The child says the client has severe back pain and was given that prescription by their health care provider. "My parent just accidentally took a few too many pills last night." Which reply by the nurse is most therapeutic? "I understand that your parent may not have intentionally taken too many pills. This medication can cause one to forget how many have been taken." "It may be appropriate for your parent to be referred to a pain management program." "Unfortunately, it's fairly common for clients with pain to increase their use of pain pills over time." "I can hear how upset you are. You sound very concerned about your parent."

"I can hear how upset you are. You sound very concerned about your parent."

A client tells a nurse that they drinks heavily in the evenings and would like to stop. The nurse suggests that the client attend a support group, but they say, "I went to one meeting and all they did was swear and brag about how drunk they got." Which response would be best for the nurse to make? "That's too bad. I can see how you might have been turned off by the experience." "Not everyone finds support groups helpful. There are other therapies available." "Support group meetings vary from group to group. Have you thought about attending another group?" "If you really want to stop your drinking, you'd go back to the support group whether you liked it or not."

"Support group meetings vary from group to group. Have you thought about attending another group?"

A client is having a severe reaction to cocaine and seems to have lost touch with reality. They are very suspicious of their friends who came with them and do not want to talk to the nurse. Suddenly, they yell out, "I'll kill you before I let you take me!" Which comment by the nurse would be most useful to help the client reestablish their self-control and orientation? "You have no need to be concerned. You're going to be all right." "You have taken a drug you shouldn't have taken, and it's making you sick." "You're reacting to the cocaine you used. You're safe here in the hospital." "You have a temporary psychosis from taking a psychedelic. Let's watch some television while we wait for it to pass."

"You're reacting to the cocaine you used. You're safe here in the hospital."

A client with a history of heroin addiction is admitted to the hospital intensive care unit with a diagnosis of opioid drug overdose. While talking with a nurse, the client's parent reports a plan to have his child declared legally incompetent. Which response by the nurse is most therapeutic? "Your child is ill and can't make decisions about health care and safety right now, but this situation is temporary." "You don't have the right to declare your child incompetent. Your child has rights, too." "I'll help you contact the hospital legal representative for help with the paperwork." "If you become the guardian, you'll be responsible for your child's finances and paying for treatment."

"Your child is ill and can't make decisions about health care and safety right now, but this situation is temporary."

A client is admitted to the hospital following an inadvertent overdose of oxycodone. The client reveals that they have chronic back pain that resulted from an injury on a construction site. The client states, "I know I took too much oxycodone at once, but I can't live with this pain without them. You can't take them away from me." Which response by the nurse is most appropriate? "Once you're tapered off the oxycodone, you will find that nonaddictive pain medicines will be enough to control your pain." "You're going to be switched from the oxycodone to methadone for long-term pain management." "The oxycodone will be stopped tomorrow, but you'll have lorazepam to help you with the withdrawal symptoms." "Your pain will be controlled by tapering doses of oxycodone and with other pain management strategies and medicines."

"Your pain will be controlled by tapering doses of oxycodone and with other pain management strategies and medicines."

An adolescent client is admitted to the psychiatric unit for treatment of bulimia nervosa. The nurse is assessing the client prior to initiating the prescribed cognitive behavioral therapy (CBT) treatment. The nurse notifies the healthcare provider that CBT must be postponed if the client: denies having an eating disorder and is argumentative. exhibits evidence of a major depressive disorder and low mood. has a body mass index in the 10th percentile with recent 5 pound (2.3 kg) weight loss. has a coexisting diagnosis of borderline personality disorder.

exhibits evidence of a major depressive disorder and low mood.

A clinic nurse is assigned to care for a suicidal client. During the preinteraction phase, what should the nurse's priority be? assessing the client's home environment and relationships outside the hospital exploring the nurse's own feelings about suicide discussing the future with the client referring the client to a member of the clergy to discuss the moral implications of suicide

exploring the nurse's own feelings about suicide

The nurse cares for a client experiencing severe symptoms of alcohol withdrawal. Which nursing action is contraindicated? helping the client walk monitoring intake and output assessing vital signs using short, concrete statements

helping the client walk

A nurse is caring for a client diagnosed with bulimia nervosa. The most appropriate initial goal for this client is to: avoid shopping for large amounts of food. control eating impulses. identify a connection between anxiety and eating behaviors. restrict eating to three meals per day.

identify a connection between anxiety and eating behaviors.

A nurse is assigned to care for a client with anorexia nervosa. During the first 48 hours of treatment, which nursing intervention is most appropriate for this client? providing one-on-one supervision during meals and for 1 hour afterward letting the client eat with other clients to create a normal mealtime atmosphere trying to persuade the client to eat and thus restore nutritional balance giving the client as much time to eat as desired

providing one-on-one supervision during meals and for 1 hour afterward

A client is voluntarily admitted to a substance use disorder unit. The client admits to drinking at least 1 qt (1 L) of vodka each day and occasionally using cocaine. Several hours after admission, a nurse suspects that the client is likely experiencing early alcohol withdrawal. What assessment findings will the nurse document as evidence of alcohol withdrawal? vomiting, watery frequent diarrhea, and pulse below 80 beats/minute dehydration, temperature above 101°F (38.3°C), and pruritus blood pressure of 90/50 mmHg, decreased appetite, and somnolence pulse of 135 beats/minute, blood pressure of 160/90 mmHg, and nervousness

pulse of 135 beats/minute, blood pressure of 160/90 mmHg, and nervousness

After a dose-response test, the client with an overdose of barbiturates receives pentobarbital sodium at a nonintoxicating maintenance level for 2 days and at decreasing dosages thereafter. This regimen is effective if the client does not develop which complication? psychosis seizures hypotension hypothermia

seizures

Flumazenil has been ordered for a client who has overdosed on oxazepam. Before administering the medication, the nurse should be prepared for which common adverse effect? seizures shivering anxiety chest pain

seizures

A client was discharged from an alcohol rehabilitation program on clonazepam 0.5 mg three times a day. Several months later, the client reports having insomnia, shakiness, sweating, and one seizure. The nurse should first assess the client for which possible cause of these symptoms? drinking alcohol with the clonazepam developing tolerance to the clonazepam stopping the clonazepam suddenly increasing the clonazepam dose independently

stopping the clonazepam suddenly