ATI Substance Use Disorders Review Questions (MH CH 18, 26; Pharm CH. 12, 11)

A nurse is teaching a school-age child and his parents about a new prescription for lisdexamfetamine. Which of the following information should the nurse include in the teaching? SELECT ALL THAT APPLY a. an adverse effect of this medication is CNS stimulation b. administer the medication before bedtime c. monitor blood pressure while taking this medication d. therapeutic effects of this medication will take 1 to 3 weeks to fully develop e. this medication raises the levels of dopamine in the brain

a. an adverse effect of this medication is CNS stimulation c. monitor blood pressure while taking this medication e. this medication raises the levels of dopamine in the brain

A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medications should the charge nurse include in the discussion? SELECT ALL THAT APPLY a. lorazepam b. diazepam c. disulfiram d. naltrexone e. acamprosate

a. lorazepam b. diazepam -benzodiazepines used during alcohol withdrawal to decrease anxiety and reduce risk for seizures

A nurse is teaching an adolescent client who has a new prescription for clomipramine for OCD. Which of the following instructions should the nurse include to minimize an adverse effect of his medication? a. wear sunglasses when outdoors b. check you temperature daily c. take this medication in the morning d. add extra calories to your diet

a. wear sunglasses when outdoors

A nurse is providing teaching to the family of a client who has a substance use disorder. Which of the following statements by a family member indicate an understanding of the teaching? SELECT ALL THAT APPLY a. "we need to understand that she is responsible for her disorder." b. "eliminating any codependent behavior will promote her recovery." c. "she should participate in an Al-Anon group to help her recover." d. "the primary goal of her treatment is abstinence from substance use." e. "she needs to discuss her feelings about substance use to help her recover."

b. "eliminating any codependent behavior will promote her recovery." - families should be aware of codependent behaviors, such as enabling, that can promote substance use rather than recovery d. "the primary goal of her treatment is abstinence from substance use." -abstinence is the primary treatment goal e. "she needs to discuss her feelings about substance use to help her recover." -clients must acknowledge their feelings about substance use as part of a substance use recovery program

A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. Which of the followings statements by the client indicates an understanding of the teaching? a. "taking this medication will help reduce my craving for heroin." b. "while taking this medication I should keep a pack of sugarless gum." c. I can expect some diarrhea from taking this medicine." d. "each dose of this medication should be placed under my tongue to dissolve."

b. "while taking this medication I should keep a pack of sugarless gum" -clonidine commonly causes clients to experience dry mouth. chewing sugarless gum is an effective method to address this adverse effect

A nurse is providing teaching to a client who has a new prescription for clonidine to assist with maintenance of abstinence from opioids. The nurse should instruct the client to monitor for which of the following adverse effects? a. diarrhea b. dry mouth c. insomnia d. hypertension

b. dry mouth

A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? SELECT ALL THAT APPLY a. bradycardia b. fine tremors of both hands c. hypotension d. vomiting e. restlessness

b. fine tremors of both hands d. vomiting e. restlessness

A nurse is teaching the parents of a school-age child about transdermal methylphenidate. Which of the following instructions should the nurse include? a. apply one patch twice per day b. leave the patch on for 9 hr. c. apply the patch to the child's waist d. use opened tray within 6 months

b. leave the patch on for 9 hr

A nurse is caring for a school-age child who has a new prescription for atomoxetine. The nurse should monitor the client for which of the following adverse effects of this medication? a. kidney toxicity b. liver damage c. seizure activity d. adrenal insufficiency

b. liver damage -monitor for manifestations such as jaundice, upper abdominal tenderness, darkening of urine, and elevated liver enzymes

A nurse is teaching the parents of a child who has a new prescription for desipramine. The nurse should instruct the parents that which of the following adverse effects is the priority to report to the provider? a. constipation b. suicidal thoughts c. photophobia d. dry mouth

b. suicidal thoughts -greatest risk to the client is injury from suicide attempt. Desipramine can cause suicidal thoughts and behaviors.

A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum. Which of the following information should the nurse include in the teaching? a. chew the gum for no more than 10 min. b. rinse out the mouth immediately before chewing the gum c. avoid eating 15 min prior to chewing the gum d. use of the gum is limited to 90 days

c. avoid eating 15 min prior to chewing gum

A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. Which of the following information should the nurse include in the teaching? a. increases the risk for seizure activity b. provides a form of aversion therapy c. decreases cravings d. results in mild hypertension

c. decreases cravings

A nurse is caring for a client who has alcohol use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? a. chlordiazepoxide b. bupropion c. disulfiram d. carbamazepine

c. disulfiram -the nurse should expect to administer disulfiram to help the client maintain abstinence from alcohol

A nurse is assisting in the discharge planning for a client following alcohol detoxification. The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence from alcohol? SELECT ALL THAT APPLY a. lorazepam b. diazepam c. disulfiram d. naltrexone e. acamprosate

c. disulfiram -promotes abstinence through aversion therapy d. naltrexone -promotes abstinence by suppressing the craving and pleasurable effects of alcohol e. acamprosate -decreases the unpleasant effects resulting from abstinence

A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the following interventions should the nurse identify as the priority? a. orient the client frequently to time, place, and person b. offer fluids and nourishing diet as tolerated c. implement seizure precautions d. encourage participation in group therapy sessions

c. implement seizure precautions

A nurse is planning a staff education program on substance use in older adults. Which of the following is appropriate for the nurse to include in the presentation? a. older adults require higher doses of a substance to achieve a desired effect. b. older adults commonly use rationalization to cope with a substance use disorder c. older adults are at an increased risk for substance use following retirement d. older adults develop substance use to mask manifestations of dementia

c. older adults are at an increased risk for substance use following retirement -retirement and other life change stressors increase the risk for substance use in older adults, especially if there is a prior history of substance use

A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. Which of the following actions should the nurse identify as the priority? a. administer the clonidine on the prescribed schedule b. provide ice chips at the client's bedside c. educate the client on the effects of clonidine d. obtain baseline vital signs

d. obtain baseline vital signs -assessment is the initial step of the nursing process. obtaining client's baseline vital signs is the priority

A nurse is teaching a female client who has tobacco use disorder about nicotine replacement therapy. Which of the following statements indicates understanding of the teaching? a. "I should avoid eating right before i chew a piece of nicotine gum." b. "I will need to stop using the nicotine gum after 1 year." c. "I know that nicotine gum is a safe alternative to smoking if I become pregnant." d. "I must chew the nicotine gum quickly for about 15 min."

a. "I should avoid eating right before i chew a piece of nicotine gum."

A nurse is discussing the use of methadone with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? SELECT ALL THAT APPLY a. "methadone is a replacement for physical dependence to opioids." b. "methadone reduces the unpleasant effects associated with abstinence syndrome." c. "methadone can be used during opioid withdrawal and to maintain abstinence." d. "methadone increases the risk for acetaldehyde syndrome." e. "methadone must be prescribed and dispensed by an approved treatment center."

a. "methadone is a replacement for physical dependence to opioids." b. "methadone reduces the unpleasant effects associated with abstinence syndrome." c. "methadone can be used during opioid withdrawal and to maintain abstinence." e. "methadone must be prescribed and dispensed by an approved treatment center."

A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. Which of the following information should the nurse include in the teaching? a. "this medication will help prevent seizures during alcohol withdrawal." b. "taking this medication will decrease your cravings for alcohol." c. "this medication maintains your blood pressure at a normal level during alcohol withdrawal." d. "taking this medication will improve your ability to maintain abstinence from alcohol."

a. "this medication will help prevent seizures during alcohol withdrawal."