Quiz 14 substance abuse
A nurse explains that according to the intrapersonal theory, addiction is caused by early childhood rejection. These substance abusers are thought to have common characteristics. What do these characteristics include?
- Attention-seeking, need for control, and self-centeredness.
A nurse is assisting in the development of a community education course about the physical complications related to substance use disorder. Which of the following complications should the nurse include in the discussion about heroin use?
- Dental caries.
An LPN is assisting with the development of a nursing care plan for a patient who has been using cocaine for 5 years. What should the nurse consider will most commonly need to be dealt with in this patient?
- Depressions
A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which of the following is an expected finding?
- Seizure activity
Which syndrome of alcoholism is related to thiamine deficiency?
- Wernicke's Encephalopathy
The nurse is assigned to care for a client at risk for alcohol withdrawal. The nurse monitors the client, knowing that the early signs of withdrawal will usually develop within which time after cessation or reduction of alcohol intake?
- Within 6 to 12 hours.
What factors make the adolescent extremely vulnerable to substance abuse? (Select all that apply)
-Egocentricity - Poor impulse control - Desire for peer identification
What does alcohol abuse in the older adult place him or her at risk for? (Select all that apply)
-Falls - Malnutrition - Bone demineralization - Cirrhosis
Which are appropriate interventions for caring for the client in alcohol withdrawal? (Select all that apply)
-Monitor vital signs - Provide a safe environment - Address hallucinations therapeutically - Provide reality orientation as appropriate
A nurse is collecting data from a client who is experiencing alcohol withdrawal delirium. Which of the following findings should the nurse expect? (Select all that apply.)
-Visual hallucinations - Paranoid delusions - Tremors
What should be avoided to prevent the accidental activation of Antabuse?
Mouthwash
Narcan has been given to a person with respiratory depression who is addicted to heroin. What should the nurse be alert for indications of?
Acute withdrawal symptoms.
In some cases, patients will use drugs or alcohol to treat the disturbing symptoms of a psychiatric disease. What can occur in this scenario?
An accidental overdose by mixing alcohol with anxiolytic, antipsychotic, or antidepressant medications.
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect?
Anxiety and diaphoresis.
A nurse in a community clinic is collecting data from a client who is withdrawing from heavy cocaine use. When collecting data from the client, which of the following manifestations should the nurse expect to observe?
Apathy
A nurse recommends to an alcoholic that he join Alcoholics Anonymous. What is true about this organization?
Based on a 12-step approach with a strong religious base.
A patient has been diagnosed with alcoholism. A nurse tells him that he has a physical illness with a genetic predisposition to alcoholism, and the only effective treatment is total abstinence from alcohol. This type of approach characterizes which theory?
Biologic
A patient who has alcoholism with a history of heavy drinking is brought to the inpatient psychiatric unit saying that he does not know where he is or what day it is. What should the nurse suspect he is exhibiting?
Blackout
A hospitalized client with a history of alcohol abuse tells the nurse, "I am leaving now. I have to go. I don't want any more treatment. I have things that I have to do right away." The client has not been discharged. In fact, the client is scheduled for an important diagnostic test to be performed in 1 hour. After the nurse discusses the client's concerns with the client, the client dresses and begins to walk out of the hospital room. The appropriate nursing action is which?
Call the nursing supervisor.
A nurse is discharging a patient with a pulmonary disorder to return home with her family. She has had a difficult time while in the hospital and has experienced withdrawal from tobacco. When the nurse tells her that community resources are available to help her to stop smoking, she says, "That's OK. I can stop whenever I want to." What does this exemplify?
Denial
A nurse is caring for a client who has depressive disorder, is in alcohol withdrawal, and reports a recent job loss. Which of the following should be the priority nursing intervention?
Determine the presence and degree of risk of suicidality.
What is the rationale for using methadone in the treatment of heroin abuse?
Does not give the "rush" that a person addicted to heroin is looking for.
The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal delirium. The nurse should monitor for which?
Hypertension, disorientation, hallucinations.
A nurse is assisting with the court-ordered admission of a client to a substance-abuse program. The client states, "You are all angry at me and wish you could go out and have a drink." The client's response is an example of which of the following defense mechanisms?
Projection
A patient with an alcohol addiction says, "My drinking is all my wife's fault. She makes me so crazy I just have to drink." What does this exemplify?
Projection
Which implementation can be used to help prevent relapse in a patient who has had a substance abuse problem?
Stress management
The nurse is caring for a client who has a history of opioid abuse and is monitoring the client for signs of withdrawal. Which manifestations are specifically associated with withdrawal from opioids?
Yawning, irritability, diaphoresis, cramps, and diarrhea.
The nurse is caring for a client who is suspected of being dependent on drugs. Which question should be appropriate for the nurse to ask when collecting data from the client regarding drug abuse?
"How much do you use, and what effects does it have on you?"
A nurse is reinforcing teaching with a client about Alcoholics Anonymous (AA). Which of the following statements by the client indicates an understanding of the program's basic concepts?
"I am powerless over my addiction to alcohol."
The nurse determines that the wife of an alcoholic client is benefiting from attending an Al-Anon group when the nurse hears the wife say which?
"I no longer feel that I deserve the beatings because my husband inflicts on me."
A nurse is reinforcing teaching about alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates an understanding of the teaching?
"I should expect fine hand tremors to start less than 24 hours after I stop drinking."
A nurse is assisting in the care of an adolescent client who has a new diagnosis of schizophrenia. The client's parents are tearful and express feelings of guilt. Which of the following responses should the nurse make?
"Let's talk about what is causing you to feel guilty."
During the taking of a medical history, a patient who is addicted to heroin reports he only uses the drug a few times a week. What is the nurse's best response when trying to disclose more precise information?
"Rate your weekly usage on a scale of 1 to 15."
A nurse is caring for a client whose partner asks to speak with the nurse. The client's partner relates that she is concerned because her partner abuses alcohol and has difficulty maintaining employment. Which of the following responses should the nurse make?
"what have you done in the past to cope with this issue?"
