NUR241 Evolve: Quiz 5-Chapter 22-Substance-Related and Addictive Disorders
A nurse directs an unlicensed assistive personnel (UAP) to offer oral fluids to a patient withdrawing from alcohol. One UAP responds, "That patient doesn't deserve my help. This problem is the result of weak character and lack of faith." Select the nurse's best response.
"Alcoholism is a disease that hurts many people. The patient needs our help and compassion."
Which response is appropriate when teaching a patient regarding a prescription for naltrexone (Revia)?
"It helps prevent relapse by reducing your drug cravings."
In confidence, an emergency department nurse said to a nursing colleague, "I know I am addicted to narcotics but I'm afraid I will lose my nursing license if I talk to my supervisor about it." Select the colleague's best initial response.
"There are special programs that can help you with your addiction so you can continue to practice. Talk to your supervisor."
A nurse directs the nursing assistant to offer fluids to a patient who is being detoxified from alcohol. The nursing assistant responds, "That patient doesn't deserve my help. Will power and faith could have avoided this situation." What is the nurse's best response?
"We accept alcoholism as a disease and provide compassionate care."
The nurse is caring for a woman with chronic alcohol intoxication. The woman is prescribed disulfiram (Antabuse) to treat the condition. Which information given by the nurse is appropriate about disulfiram (Antabuse)?
"You may experience adverse effects if you consume alcohol."
A patient is trying to quit the habit of drinking alcohol. Which symptoms does the nurse recognize as the effect of mild alcohol withdrawal?
-Anorexia. -Insomnia. -Restlessness.
Which symptoms does the nurse look for in a patient with opioid intoxication?
-Bradycardia. -Hypotension. -Hypothermia.
A patient is undergoing detoxification for heroin abuse at a residential rehabilitation program. What teaching by the nurse can help prevent a relapse in the future?
-Counseling to identify the potential triggers of substance use. -Helping in acquiring skills to regain abstinence in the vent of relapse. -Teaching stress management skills to address triggers that may lead to substance use. -Counseling on adopting healthy coping measures and a sustainable recovery lifestyle.
Which principles of counseling does the nurse use when planning care for persons with alcoholism?
-Create a plan to deal with relapse. -Recognize that recovery is an achievable goal. -Help the individual replace unhealthy defenses with healthy coping.
A nurse interviews a 15-year-old who has engaged in frequent substance abuse. In addition to assessing substance abuse, the nurse should screen for which other problems in this adolescent?
-Depression. -Conduct disorder. -Antisocial personality.
A patient is brought to the emergency room with extreme alcohol intoxication. Which health effects of high doses of alcohol does the nurse expect to find in the patient?
-Drowsiness. -Slurred speech. -Low body temperature. -Loss of coordination.
A nurse is assessing a patient, who has been withdrawing from cocaine. Which clinical findings of cocaine withdrawal does the nurse observe?
-Fatigue. -Depression. -Poor concentration.
A nurse is teaching high school students about commonly abused drugs and their effects. Which common substances are abused through swallowing?
-Opium. -Alcohol. -Marijuana.
Which statements are true regarding substance addiction?
-The term commonly used to describe substance use disorders is addiction. -Addiction currently is described as being chronic and affecting motivation. -Hedonistic behaviors are demonstrated by the addicted individual.
What is the nurse's most important intervention when caring for a patient experiencing severe alcohol withdrawal symptoms?
Administer prescribed anticonvulsant medication.
A patient describes experiences of having blackouts. The nurse suspects abuse of:
Alcohol.
The nurse identifies that an adolescent has severe alcohol intoxication incidents. The adolescent's laboratory reports show a blood alcohol level of 350 mg percent. What symptom in the adolescent may result from these blood alcohol levels?
Amnesia.
The nurse is attempting to address the patient's inability to motivate him- or herself to stop abusing alcohol. To best facilitate this change in behavior, the nurse:
Asks the patient to identify three negative outcomes that chronic alcohol abuse has had on his or her life.
Which assessment data would be most consistent with a severe opiate overdose?
Blood pressure, 80/44 mm Hg; pulse, 120 beats/min; respirations, 10 breaths/min.
Which statement is true regarding substance addiction and medical comorbidity?
Conditions such as hepatitis C, diabetes, and human immunodeficiency virus (HIV) infection are common comorbidities.
What should the nurse monitor to ensure the safety of a patient who has a blood alcohol level of 40 percent?
Coordination.
The nurse is planning care management for a patient with alcohol misuse. What intervention does the nurse plan for rehabilitation of this patient?
Develop motivation and self-help skills.
Social media offers a support network and can work as a useful tool for patients with substance-related disorders. What aspect of using social media can be harmful to patient care?
Discloses the user's identity and health concerns.
Prescription of which medication represents part of an aversive therapy approach to treatment of addiction?
Disulfiram (Antabuse).
How does the counselor integrate motivational interviewing as a tool in the treatment plan of a patient with a substance use disorder?
It helps the counselor assess the stage of change the patient is in and match it with an appropriate treatment process.
The nurse is assessing a patient brought to the emergency room with tachycardia, hypertension, and hyperthermia. On examination, the nurse finds the pupils are dilated and the reflexes are heightened. What does the nurse suspect this condition to be?
Opioid withdrawal.
The nurse observes a patient in ICU with insomnia who used to take opioids for chronic pain. Following diagnosis, the nurse finds that the patient has enlarged pupils associated with continuous tearing of the eyes. In the report the nurse would document that the patient was showing signs of what?
Opioid withdrawal.
What should the nurse make a priority for the care of a patient hospitalized with a history of cocaine abuse?
Promoting sleep in the patient.
A nurse is learning how to manage patients with substance abuse disorders. Which step should the nurse apply as a first-line intervention in such cases?
Providing safety and sleep.
The treatment team meets to discuss the plan of care for a patient diagnosed with addiction to heroin. Which factor will have priority when planning interventions?
Readiness to change.
When caring for a patient who is intoxicated from alcohol, which need has the highest priority?
Safety and security.
The nurse notices withdrawal symptoms in a patient with substance use disorder. What is the priority substance use disorder outcome measure when planning the care of this patient?
Stabilization of the patient.
The nurse is learning about commonly abused substances and their effects. Which type of drug does the nurse understand to cause increased mental alertness?
Stimulants.
Which finding indicates that treatment for imbalanced nutrition has been effective for a patient with a history of cannabis abuse?
The patient eats a well-balanced diet.
Why is cognitive-behavioral therapy indicated in a patient with a bath salts addiction?
To identify irrational core beliefs in the patient.
A patient is diagnosed with mouth cancer. Which substance abuse should the nurse inquire about with the patient?
Tobacco.
Nursing assessment of an alcohol-dependent patient experiencing uncomplicated moderate alcohol withdrawal would most likely reveal the presence of
Tremors.
Which observation indicates to the nurse that a patient is at risk for codependent behavior?
Values for him/herself are based on self-assets and actions.
What term is used to identify a syndrome that occurs after stopping the long-term use of a drug?
Withdrawal.
A young woman reports that although she has no memory of the event, she believes that she was raped. This raises suspicion that she unknowingly ingested
a-hydroxybutyrate (GHB).
