Addiction

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."

A nurse is caring for a client who has a history of alcohol use disorder and has been hospitalized for alcohol intoxication. The nurse enters the room and finds the client shouting, "Get those bugs off of me!" Which of the following responses should the nurse make?

"I don't see any bugs, but you seem very frightened."

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 hand tremors to start less than 24 hours after I stop drinking."

A nurse is caring for a client who routinely drinks alcohol. Which of the following information should the nurse provide the client about alcohol consumption?

"Medication is metabolized faster when alcohol is consumed regularly."

A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?

Initiate one-to-one nursing observation.

A nurse is assisting with the admission of a client who is experiencing acute alcohol intoxication. When working with this client, which of the following approaches should the nurse take?

Maintain a nonjudgmental attitude.

A nurse is caring for a client who is experiencing opioid withdrawal. Which of the following medications should the nurse anticipate the provider to prescribe?

Methadone

A staff nurse suspects that a newly licensed nurse is chemically impaired. Which of the following actions should the staff nurse take?

Notify the charge nurse of the situation.

A nurse notes that a provider frequently arrives to the unit with bloodshot eyes and smelling like alcohol after lunch. Which of the following actions should the nurse take?

Notify the nurse manager or charge nurse about the concerns.

A nurse is contributing to the plan of care for a client who has signs of alcohol intoxication. Which of the following interventions should the nurse include in the client's plan of care? (Select all that apply.)

Obtain a blood sample. ​Prepare the client for a CT scan. ​Check the client's pupil reactivity.

A nurse is assisting the charge nurse to prepare for an inservice with nursing staff to discuss substance use disorders. Which of the following should the nurse include as an etiological factor of addictive disorders? (Select all that apply.)

Poor educational resources Low self-esteem Family history of addiction Lack of support system

A nurse is caring for a client who is has alcohol use disorder and is experiencing withdrawal. Which of the following interventions is the nurse's priority?

Prevent the client from harming herself or others.

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 nurse is caring for an adolescent on an inpatient mental health unit who is undergoing detoxification for a substance use disorder. He tells the nurse that he first began using illicit drugs when his parents wouldn't allow him to get a tattoo. Which of the following defense mechanisms is the client demonstrating?

Projection

A nurse is discussing the possible physical effects of alcohol withdrawal with a newly licensed nurse. Which of the following effects should the nurse include? (Select all that apply.)

​Seizures ​Illusions ​Tremors

A nurse is discussing alcohol tolerance with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"Alcohol tolerance can result in a decreased physical response to alcohol."

A nurse is reinforcing teaching with a client who has alcohol use disorder and is taking disulfiram. Which of the following statements should the nurse include in the teaching?

"Avoid alcohol for 2 weeks after discontinuing the medication."

A nurse is assisting is collecting data from a client who has acute phencyclidine (PCP) intoxication. Which of the following findings should the nurse expect?

Paranoia

A nurse in a clinic is caring for a client who has alcohol use disorder. The client reports frequent bruising and nosebleeds. Which of the following conditions should the nurse suspect?

Cirrhosis

A nurse manager is preparing to report taking disciplinary action toward a staff nurse for a substance use disorder. The nurse should identify which of the following entities has the authority to revoke a professional nurse's license?

State board of nursing

A nurse is caring for a client who begins showing signs of alcohol withdrawal delirium. Which of the following medications should the nurse administer?

​Lorazepam

A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which of the following is an expected finding?

​Seizure activity

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 in an assisted-living facility is caring for a client who is in early stages of dementia. The client has been oriented to name and place and is usually cooperative. Which of the following nursing actions is appropriate if the client refuses to take morning medications?

Ask the client to express her reasons for refusing the morning medications and document the event.

A nurse is caring for a client who has substance use disorder and undergoing detoxification for alcohol use. Which of the following medications should the nurse administer to minimize the client's craving for alcohol?

Atenolol

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?"

A nurse is assisting with the readmission of a client to the medical unit after a transfer to ICU following a suicide attempt using an overdose of medication. The client looks down at the floor and mumbles, "Hello." Which of the following responses should the nurse make?

"Would you like to talk about what happened?"

A nurse is assisting with the development of a community education course about the physical complications related to substance use disorder. Which of the following substances should the nurse identify as a primary cause of cirrhosis?

Alcohol

A nurse in a community center is assisting with an educational session for caregivers of older adult clients who have dementia. Which of the following topics should the nurse include in the teaching session? (Select all that apply.)

Actions to reduce stress Social support systems Available community resources Legal services

A nurse is contributing to the plan of care of an unconscious adolescent who ingested a non-corrosive substance that has no recommended antidote. The nurse should recommend to perform gastric lavage with which of the following substances?

Activated charcoal

A nurse at a provider's office is reviewing the medication record of a client who has mild dementia. The client's caregiver reports the client takes ginkgo biloba to aid his memory. The nurse should warn the caregiver to monitor for and report which of the following adverse effects?

Bleeding gums

A nurse is caring for a client who is taking disulfiram and is experiencing severe nausea and vomiting. The nurse should identify that which of the following is the cause for the client's nausea and vomiting?

Consumption of alcohol

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

A nurse in an addiction rehabilitation center is contributing to the plan of care for a newly admitted client who has alcohol use disorder. Which of the following interventions is the nurse's priority?

Determine the client's level of disorientation.

A nurse in a long-term care facility is performing a mental status examination (MSE) for a newly-admitted client who has dementia. Which of the following data should the nurse include? (Select all that apply.)

Grooming ​Long-term memory ​Affect

A nurse is collecting data from a client who is receiving treatment for alcohol detoxification. Which of the following findings is the nurse's priority?

Hallucinations

A nurse is assessing a client who has multiple injuries from a motor vehicle crash as a result of driving while under the influence of alcohol. The client tells the nurse," I had a few drinks after my boss fired me, but it's okay. Everything will work out somehow next week." Which of the following defense mechanisms is the client demonstrating?

Suppression

A nurse is caring for an older adult client who has dementia and wanders at night. Which of the following interventions should the nurse take?

Take the client to the bathroom on a regular schedule.

A nurse is caring for an older adult client who has dementia and is agitated. The client says, "I have to go home and see my mother." The nurse replies, "You miss your mother." Which of the following therapeutic techniques is the nurse using?

Validation

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