Nurs 311 Addictions Homework Assignment

57. A client who formerly used lysergic acid diethylamide (LSD) is seeking counseling. Which characteristic or condition in the mental health history would be seen in this client? a. Lack of trust b. Panic attacks c. Recurrent depression d. Loss of ego boundaries

b. Panic attacks

43. A 20-year-old client is admitted with bone marrow depression. He tells the nurse he's been abusing drugs since age 13. Which drug should the nurse expect to find in his history? a. Amphetamines b. Cocaine c. Inhalants d. Marijuana

c. Inhalants

74. A client who uses cocaine is admitted to an intensive outpatient rehabilitation program. During cocaine withdrawal, which finding should the nurse expect when assessing the client? a. GI distress b. Blurred vision c. Perceptual distortions d. Increased appetite

d. Increased appetite

62. Which nursing intervention has priority in a care plan for a client recovering from cocaine addiction? a. Help the client find ways to be happy and competent. b. Foster creative use of self in community activities. c. Teach the client to handle stresses in the work setting. d. Help the client acknowledge the current level of dependency.

a. Help the client find ways to be happy and competent.

60. A nurse is assessing a client who uses heroin to determine if there are physical health problems. Which medical consequence of heroin use frequently occurs? a. Hepatits b. Peptic ulcers c. Hypertension d. Chronic pharyngitis

a. Hepatits

27. A nurse suggests to a client struggling with alcohol addiction that keeping a journal may be helpful. The journal helps the client: a. Identify stressors and responses to them. b. Understand the diagnosis. c. Help others by reading the journal to them. d. Develop an emergency plan for use in a crisis.

a. Identify stressors and responses to them.

71. A nurse is working with parents of an adolescent client who abuses inhalants. Which information about consequences is best to include in a teaching plan? a. Consequences must be enforceable. b. Everything can become a consequence. c. When setting consequences, be verbally forceful. d. Consequences are seldom needed with adolescents.

a. Consequences must be enforceable.

45. A client experiencing amphetamine withdrawal may commonly experience which of the following symptoms? a. Disturbed sleep b. Increased yawning c. Psychomotor agitation d. Inability to concentrate

a. Disturbed sleep

5. The nurse is assessing a client with prolonged, chronic alcohol intake. Which of the following findings would the nurse expect to find? a. Enlarged liver b. Nasal irritation c. Muscle wasting d. Limb paresthesia

a. Enlarged liver

59. A client who smoked marijuana daily for 10 years tells a nurse, " I don't have any goals, and I just don't know what to do." Which communication technique is the most useful when talking to this client? a. Focus the interaction b. Use nonverbal methods c. Use reflection techniques d. Ask open-ended questions

a. Focus the interaction

17. A nurse has a meeting with a family of a recovering client. The client tells a family member, "You made it easy for me to use alcohol. you always made excuses for my behavior." Which important issue should the family be encouraged to address? a. Giving up enabling behaviors b. Managing the client's self-care c. Dealing with negative behaviors d. Evaluating the home environment

a. Giving up enabling behaviors

4. A nurse assesses a client with alcohol withdrawal. Which finding is of most concern to the nurse? a. Hallucinations b. Nervousness c. Diaphoresis d. Nausea

a. Hallucinations

77. A polyaddicted client is hospitalized for withdrawal complications. During his stay in a medical step-down unit, which immediate short-term goal takes highest priority? a. The client will remain safe during the detoxification period. b. The client will develop an accurate perception of his drug problem. c. The client will abstain from mood-altering drugs. d. The client will learn coping strategies to help him stop relying on drugs.

a The client will remain safe during the detoxification period.

72. A nurse is caring for a client undergoing treatment for cocaine abuse. The nurse should expect the client to make which statement if the client is pessimistic about treatment? a. "I'll never get better. This is useless." b. "I don't think I want to see my family anymore. They're not supportive." c. "I'm fatigued all the time. My energy is low." d. "I want to get better now. Can't we rush the treatment."

a. "I'll never get better. This is useless."

37. A client addicted to alcohol tells a nurse, "Making friends used to be hard for me." Which statement by the client indicates that client teaching about relationships was successful? a. "I've set limits on my behaviors toward others." b. "I need to be judgmental of other." c. "I won't become intimately involved with others." d. "I can't bear to see myself hurt again in a relationship."

a. "I've set limits on my behaviors toward others."

38. A client who abused alcohol for more than 20 years is diagnosed with cirrhosis of the liver. Which statement by the client shows that teaching has been effective? a. "If I decide to stop drinking, I won't kill myself." b. "If I watch my blood pressure, I should be okay." c. "If I take vitamins, I can undo some liver damage." d. "If I use nutritional supplements, I won't have problems."

a. "If I decide to stop drinking, I won't kill myself."

21. A client who has been drinking alcohol for 30 years asks a nurse if permanent damage has occurred to his immune system. Which response is the best? a. "There is often less resistance to infections." b. "Sometimes the body's metabolism will increase." c. "Put your energies into maintaining sobriety for now." d. "Drinking puts you at high risk for disease later in life."

a. "There is often less resistance to infections."

54. A client who uses cocaine finally admits he also abused other drugs to equalize the effect of cocaine. Which substance might be included in the client's pattern of polysubstace abuse? a. Alcohol b. Amphetamines c. Caffeine d. Phencyclidine

a. Alcohol

7. A client who abuses alcohol tells a nurse, "Alcohol helps me sleep." Which information about alcohol use and sleep is most accurate? a. Alcohol doesn't help promote sleep. b. Continued alcohol use causes insomnia. c. One glass of alcohol at dinnertime can induce sleep. d. Sometimes alcohol can make one drowsy enough to fall asleep.

a. Alcohol doesn't help promote sleep.

34. A client addicted to alcohol begins individual therapy with a nurse. Which intervention should be a priority? a. Learn to express feelings. b. Establish new roles in the family. c. Determine strategies for socializing d. Decrease preoccupation with physical health

a. Learn to express feelings.

6. A client has an order for chlordiazepoxide (Librium) to be given as needed for signs and symptoms of alcohol withdrawal. Which symptoms indicate that the client needs this medication? a. Mild tremors, hypertension, tachycardia b. Bradycardia, hyperthermia, sedation c. Hypotension, decreased reflexes, drowsiness d. Hypothermia, mild tremors, slurred speech

a. Mild tremors, hypertension, tachycardia

51. A nurse is assessing a client with a history of substance abuse who has pinpoint pupils, a heart rate of 56 beats/minute, a respiratory rate of 6 breaths/minute, and temperature of 96.4`F. Which substance should the nurse determine is the most likely cause of the client's symptoms? a. Opioids b. Amphetamines c. Cannabis d. Alcohol

a. Opioids

42. A client says he used amphetamines to be productive at work. Which symptom commonly occurs when the drug is abruptly discontinued? a. Severe anxiety b. Increased yawning c. Altered perceptions d. Amotivational syndrome

a. Severe anxiety

46. Which condition can occur in a client who has just used cocaine? a. Tachycardia b. Hyperthermia c. Hypotension d. Bradypnea

a. Tachycardia

80. A client is receiving chlordiazepoxide (Librium) to control the symptoms of alcohol withdrawal. The chlordiazepoxide has been ordered as needed. Which symptoms may indicate the need for an additional dose of the medication? (select all that apply) a. Tachycardia b. Mood swings c. Elevated blood pressure and temperature d. Piloerection e. Tremors f. Increasing anxiety

a. Tachycardia c. Elevated blood pressure and temperature e. Tremors f. Increasing anxiety

79. A nurse has developed a relationship with a client who has an addiction problem. Which information should indicate that the therapeutic interaction is in the working stage? (select all that apply) a. The client addresses how the addiction has contributed to family distress. b. The client reluctantly shares the family history of addiction. c. The client verbalizes difficulty identifying personal strengths. d. The client discusses financial problems related to the addiction e. The client expresses uncertainty about meeting with the nurse. f. The client acknowledges the addiction's effects on the children.

a. The client addresses how the addiction has contributed to family distress. c. The client verbalizes difficulty identifying personal strengths. f. The client acknowledges the addiction's effects on the children.

15. A client tells a nurse, "I've been drinking ever since they told me I had learning disabilities." Which rationale does this client's statement indicate? a. The client is self-medicating. b. The client has an excuse to drink. c. The client isn't a productive person. d. The client will be unable to stop drinking.

a. The client is self-medicating.

61. The family of a client in rehabilitation following heroin withdrawal asks a nurse why the client is receiving naltrexone (ReVia). What is the best response by the nurse? a. To help reverse withdrawal symptoms b. To keep the client sedated during withdrawal c. To take the place of detoxification with methadone d. To decrease the client's memory of the withdrawal experience

a. To help reverse withdrawal symptoms

65. A nurse is collecting data from a client with a history of cocaine abuse. Which condition might typically be found with this client? a. Glossitis b. Pharyngitis c. Bilateral ear infections d. Perforated nasal septum

d. Perforated nasal septum

47. Which information is most important in teaching a client who abuses prescription drugs? a. Herbal substitutes are safer to use b. Medication should be used only for the reason prescribed. c. The client should consult a physician before using a drug. d. Consider if family members influence the client to use drugs.

b. Medication should be used only for the reason prescribed.

31. A client recovering from alcohol abuse tells the nurse, "I get nothing out of Alcoholics Anonymous (AA) meetings." What is the best response by the nurse? a. " What were you told about going to AA meetings?" b. " What do you want to get out of the AA meetings?" c. " When do you think you'll stop going to the meetings?" d. " Do you think you can control what happens in a meeting?"

b. " What do you want to get out of the AA meetings?"

76. During nicotine withdrawal, which client statement is typical? a. "I sometimes feel like I'm seeing things." b. "I feel lousy, and I'm grumpy with everybody." c. "I can't believe I feel fine after just having stopped smoking." d. "I'm always yawning now."

b. "I feel lousy, and I'm grumpy with everybody."

14. which statement by a client who abuses alcohol indicates a need for nutritional teaching? a. "I should avoid foods high in fat." b. "I should eat only one balanced meal per day." c. "I should take vitamin and mineral supplements." d. "I should eat large portions of food containing fiber."

b. "I should eat only one balanced meal per day."

56. Which statement by a client indicates teaching about cocaine use has been effective? a. "I wasn't using cocaine to feel better about myself." b. "I started using cocaine more and more until I couldn't stop." c. "I'm not addicted to cocaine because I don't use it every day." d. I'm not going to be a chronic user, I only use it on holidays."

b. "I started using cocaine more and more until I couldn't stop."

13. A client with a history of alcohol abuse refuses to take vitamins. Which statement is most appropriate for explaining why vitamins are important? a. "It's important to take vitamins to stop your craving." b. "Prolonged use of alcohol can cause vitamin depletion." c. "For every vitamin you take, you'll help your liver heal" d. "By taking vitamin, you don't need to worry about your diet."

b. "Prolonged use of alcohol can cause vitamin depletion."

19. A client recovering from alcohol abuse tells a nurse, "I feel so depressed about what I've done to my family that I feel like giving up." Assessment of which area is a priority? a. Family support b. A plan for self-harm c. A sponsor for the client d. Other ambivalent feelings

b. A plan for self-harm

1. Family members of a client who abuses alcohol asks a nurse to help them intervene. Which action is essential for a successful intervention? a. All family members must tell the client they're powerless. b. All family members must describe how the addiction affects them. c. All family members must come up with their share of financial support. d. All family members must become caregivers during the detoxification period.

b. All family members must describe how the addiction affects them.

20. A client withdrawing from alcohol says he's worried about periodic hallucinations. Which intervention is best for this client's problem? a. Point out that the sensation doesn't exist. b. Allow the client to talk about the experience. c. Encourage the client to wash the body areas well d. Determine if the client has a cognitive impairment

b. Allow the client to talk about the experience.

24. A client is struggling with alcohol dependence. Which communication strategy would be most effective? a. Speak briefly and directly b. Avoid blaming or preaching to the client. c. Confront feelings and examples of perfectionism d. Determine if nonverbal communication will be more effective.

b. Avoid blaming or preaching to the client.

53. Which clinical condition is frequently seen with substance abuse clients who repeatedly use cocaine? a. Panic attacks b. Bipolar crying c. Attention deficits d. Expressive aphasia

b. Bipolar crying

16. A nurse is caring for a client undergoing treatment for acute alcohol dependence. The client tells the nurse, "I don't have a problem. My wife made me come here." Which defense mechanism is the client using? a. Projection and suppression b. Denial and rationalization c. Rationalization and repression d. Suppression and denial

b. Denial and rationalization

10. A client with chronic alcoholism may be predisposed to develop which of the following conditions? a. Arteriosclerosis b. Heart failure c. Heart valve damage d. Pericarditis

b. Heart failure

12. A nurse determines that a client who abused alcohol has nutritional problems. Which strategy is best for addressing the client's nutritional needs? a. Encourage the client to eat a diet high in calories. b. Help the client recognize and follow a balanced diet. c. Have the client drink liquid protein supplement daily. d. Have the client monitor the calories consumed each day.

b. Help the client recognize and follow a balanced diet.

69. The severity of withdrawal symptoms for a client addicted to heroin may depend on which factor? a. Ego strength b. Liver function c. Seizure history d. Kidney function

b. Liver function

39. A client tells a nurse, "I'm not going to have problems from smoking marijuana." Which response is most appropriate? a. "Evidence shows it can case major health problems." b. Marijuana can cause reproductive problems later in life." c. "Smoking marijuana isn't as dangerous as smoking cigarettes. d. "Some people have minor or no reaction to smoking marijuana."

b. Marijuana can cause reproductive problems later in life."

52. Which intervention is the highest priority in planning care for a client recovering from cocaine use? a. Skin care b. Suicide precautions c. Frequent orientation d. Nutrition consultation

b. Suicide precautions

22. A client experiencing alcohol withdrawal is upset about going through detoxification. Which goal is a priority? a. The client will commit to a drug-free lifestyle. b. The client will work with the nurse to remain safe. c. The client will drink plenty of fluids on a daily basis. d. The client will make a personal inventory of strengths.

b. The client will work with the nurse to remain safe.

8. A client withdrawing from alcohol is given lorazepam (Ativan). The nurse teaches the client's family about the drug. Which response by a family member indicates that the nurse's teaching has been successful? a. "Short-term use of lorazepam can lead to dependence." b. The lorazepam will reduce symptoms of withdrawal." c. "The lorazepam will make him forget about symptoms of withdrawal." d. "The lorazepam will also help with his heart disease."

b. The lorazepam will reduce symptoms of withdrawal."

40. During an assessment of a client with a history of poly substance abuse, which information is a priority to obtain after the names of the drugs? a. Oral administration of any drug b. Time of last use of each drug c. How the drug was obtained d. The place the drug was used

b. Time of last use of each drug

18. Which short-term goal should be a priority for a client with a knowledge deficit about the effects of alcohol on the body? a. Test blood chemistries daily. b. Verbalize the results of substance use. c. Talk to the pharmacist about the substance. d. Attend a weekly aerobic exercise program.

b. Verbalize the results of substance use.

67. A family expresses concern that a member who stopped using amphetamines 3 months ago is acting paranoid. Which explanation is the best? a. A person gets symptoms of paranoia with polysubstance abuse. b. When a person uses amphetamines, paranoid tendencies may continue for months. c. Sometimes family dynamics and a high suspicion of continued drug use make a person paranoid. d. Amphetamine abusers may have severe anxiety and paranoid thinking.

b. When a person uses amphetamines, paranoid tendencies may continue for months.

2. A client who abuses alcohol tells a nurse, "I'm sure I can become a social drinker." Which response is most appropriate? a. "When do you think you can become a social drinker? b. "What makes you think you'll learn to drink normally?" c. "Does your alcohol use cause major problems in your life?" d. "How many alcoholic beverages can a social drinker consume?"

c. "Does your alcohol use cause major problems in your life?"

32. A client asks a nurse, "Why does it matter if I talk to my peers in group therapy?" Which response is most appropriate? a. "Group therapy lets you see what you're doing wrong in your life." b. "Group therapy acts as a defense against your disorganized behavior." c. "Group therapy provides a way to ask for support as well as to support others." d. "In group therapy, you can vent your frustrations and others will listen."

c. "Group therapy provides a way to ask for support as well as to support others."

49. A pregnant client is thinking about stopping cocaine use. Which statement by the client indicates effective teaching about pregnancy and drug use? a. "Right after birth, I'll give the baby up for adoption." b. "I'll help the baby get through the withdrawal period." c. "I don't want the baby to have withdrawal symptoms." d. "It's scary to think the baby may have Down syndrome."

c. "I don't want the baby to have withdrawal symptoms."

66. A client recovering from cocaine abuse is participating in group therapy. Which statement by the client indicates the client has benefited from the group? a. "I think the laws about drug possession are too strict in this country." b. "I'll be more careful about talking about my drug use to my children." c. "I finally realize the short high from cocaine isn't worth the depression." d. "I can't understand how I could get all the problems that we talked about in group."

c. "I finally realize the short high from cocaine isn't worth the depression."

48. The family of an adolescent who smokes marijuana asks a nurse if the use of marijuana leads to abuse other drugs. Which response is best? a. "Use of marijuana is stage your child will go through." b. "Many people use marijuana and don't use other street drugs." c. "Use of marijuana can lead to abuse of more potent substance." d. "It's difficult to answer that question as I don't know your child."

c. "Use of marijuana can lead to abuse of more potent substance."

33. A family meeting is held with a client who abuses alcohol. While listening to the family, which unhealthy communication pattern may be identified? a. Use of descriptive jargon b. Disapproval of behaviors c. Avoidance of conflicting issues d. Unlimited expression of nonverbal communication

c. Avoidance of conflicting issues

44. Which reason best explains why it's important to monitor behavior in a client who has stopped using phencyclidine (PCP)? a. Fatigue can cause feelings of being overwhelmed. b. Agitation and mood swings can occur during withdrawal. c. Bizzarre behavior can be a precursor to a psychotic episode. d. Memory loss and forgetfulness can cause unsafe conditions.

c. Bizzarre behavior can be a precursor to a psychotic episode.

23. A client recovering from alcohol abuse needs to develop effective coping skills to handle daily stressors. Which intervention is most useful to the client? a. Determine the client's level of verbal skills. b. Help the client avoid areas that cause conflict. c. Discuss examples of successful coping behavior. d. Teach the client to accept uncomfortable situations.

c. Discuss examples of successful coping behavior.

55. A group of teenagers tell the school nurse they used cocaine because they were bored. Which short-term goal is the most important for the nurse to immediately initiate? a. Prepare a drug lecture b. Restrict school privileges c. Establish an activity schedule d. Report the incident to their parents

c. Establish an activity schedule

25. A nurse is working with a client on recognizing the relationship between alcohol abuse and interpersonal problems. Which intervention has priority? a. Help the client identify personal strengths. b. Help the client decrease compulsive behaviors. c. Examine the client's use of defense mechanism. d. Have the client work with peers who can serve as role models.

c. Examine the client's use of defense mechanism.

75. A client who abuses alcohol is admitted to an outpatient drug and alcohol treatment facility. What's the most objective assessment method for determining if the client is still using alcohol? a. Having the client walk in a straight line b. Smelling the client's breath c. Giving the client a breath alcohol test d. Asking the client if he's been drinking

c. Giving the client a breath alcohol test

68. A nurse is trying to determine if a client who abuses heroin has any drug-related legal problems. Which assessment question is the best to ask the client? a. When did you spouse become aware of your use of heroin? b. Do you have a probation officer that you report to periodically? c. Have you experienced any legal violations while being intoxicated? d. Do you have a history of frequent visits with the employee assistance program manager?

c. Have you experienced any legal violations while being intoxicated?

73. A nurse is working with a client addicted to cocaine who is in denial. Which approach is most useful for dealing with the client's denial? a. Ask whether the client sees the drug use as a problem. b. Focus on the pain the client is having during withdrawal. c. Reinforce the connection between drug use and harmful results. d. Help the client recognize reality by pointing out withdrawal symptoms.

c. Reinforce the connection between drug use and harmful results.

64. A client discusses with the nurse how drug addiction has made life unmanageable. Which information will help the client cope with the drug problem? a. How peers have committed to sobriety. b. How to accomplish family of origin work. c. The addiction process and tools for recovery. d. How environmental stimuli serve as drug triggers.

c. The addiction process and tools for recovery.

26. A client recovering from alcohol addiction has limited coping skills. Which characteristics would indicate relationship problems? a. The client is prone to panic attacks b. The client doesn't pay attention to details. c. The client has poor problem-solving skills. d. The client ignores the need to relax and rest.

c. The client has poor problem-solving skills.

58. A nurse is writing a nursing care plan for a client who has been using phencyclidine (PCP). Assessment for which emergency should be included? a. Cardiac arrest b. Seizure disorder c. Violent behavior d. Delirium reaction

c. Violent behavior

9. A client who abuses alcohol tells a nurse everyone in his family has an alcohol problem and nothing can be done about it. Which response is the most appropriate? a. "You're right, it's much harder to become a recovering person." b. "This is just an excuse for you so you don't have to work on becoming sober." c. Sometimes nothing can be done, but you may be the exception in this family." d. "Alcohol problems can occur in families but you can decide to take the steps to become and stay sober."

d. "Alcohol problems can occur in families but you can decide to take the steps to become and stay sober."

35. A client recovering from alcohol addiction asks a nurse how to talk to his children about the impact of his addiction to them. Which response is most appropriate? a. "Try to limit references to addiction, and focus on the present." b. "Talk about all the hardships you've had in working had in working to remain sober." c. "Tell them you're sorry, and emphasize that you're doing so much better now." d. "Talk to them by acknowledging the difficulties and pain your drinking caused."

d. "Talk to them by acknowledging the difficulties and pain your drinking caused."

3. A client askes a nurse not to tell his parents about his alcohol problem. Which response is most appropriate?" a. "How can you not tell them? Is that being honest?" b. "Don't you think you'll need to tell them someday?" c. "Do alcohol problems run in either side of your family?" d. "What do you think will happen if you tell your parents?"

d. "What do you think will happen if you tell your parents?"

30. A nurse is developing strategies to prevent relapse with a client who abuses alcohol. Which client intervention is important? a. Avoid taking over-the-counter medications? b. Limit monthly contact with the family of origin. c. Refrain from becoming involved in group activities. d. Avoid people, places, and activities from the former lifestyle.

d. Avoid people, places, and activities from the former lifestyle.

28. Which information is most important to use in teaching a plan for a client who abused alcohol? a. Personal needs b. Illness exacerbation c. Cognitive distortions d. Communication skills

d. Communication skills

41. A client says, "I started using cocaine as a recreational drug, but now I can't seem to control the use." The nurse knows that the client's statement is most consistent with which drug behavior? a. Toxic dose b. Dual diagnosis c. Cross-tolerance d. Compulsive use

d. Compulsive use

36. A client with a diagnosis of alcohol dependency is being discharged from the hospital. Which goal will be priority for successful outpatient therapy? a. Find a way to drink socially. b. Allow self to grieve recent losses. c. Work to bring others into treatment. d. Develop relapse-prevention strategies.

d. Develop relapse-prevention strategies.

63. A client tells a nurse, "I've been clean from drugs for the past 5 years, but my life really hasn't changed." Which concept should be explored with this client? a. Further education b. Conflict resolution c. Career development d. Personal development

d. Personal development

29. Which assessment must be done before starting a teaching session with a client who abuses alcohol? a. Sleep patterns b. Decision making c. Note-taking skills d. Readiness to learn

d. Readiness to learn

11. Which assessment finding is commonly associated with the abuse of alcohol in a young, depressed adult women? a. Defiant responses b. Infertility c. Memory loss d. Sexual abuse

d. Sexual abuse

50. Which test might be ordered for a client with a history of cocaine abuse who exhibits behavior changes following a return from an inpatient treatment facility? a. Antibody screen b. Glucose screen c. Hepatic screen d. Urine screen

d. Urine screen

70. A client who uses cocaine denies that drug use is a problem. Which intervention strategy would be best to confront the client's denial? a. State ways to cope with stress. b. Repeat the drug facts as needed. c. Identify the client's ambivalence. d. Use open-ended, factual questions.

d. Use open-ended, factual questions.

78. A client with an alcohol addiction requests a prescription for disulfiram (Antabuse). To determine the client's ability to take the drug appropriately, the nurse should assess which of the following? a. Whether the client will take a prescription drug b. Whether the client's family accepts the use of this treatment strategy c. Whether the client is willing to follow the necessary dietary restrictions d. Whether the client is motivated to stay sober .

d. Whether the client is motivated to stay sober