Mental health EAQ #5 alcohol abuse EXAM 3

what is the primary reason that the nurse encourages the family of an alcoholic to become involved in the treatment program? 1. alcoholism involves the entire family 2. alcoholics try to hide their drinking from their families 3. family members provide insights into the dynamics behind the drinking 4. family members have been most successful in providing necessary support

1. alcoholism involves the entire family

which medication may be used to encourage abstinence in a client with alcoholism? 1. disulfiram 2. lorazepam 3. methadone 4. chlordiazepoxide

1. disulfiram

A client being admitted for alcoholism reports having had alcoholic blackouts. The nurse knows that an alcoholic blackout is best described as: 1 A fugue state resembling absence seizures 2 Fainting spells followed by loss of memory 3 Loss of consciousness lasting less than 10 minutes 4 Absence of memory in relation to drinking episodes

4 Absence of memory in relation to drinking episodes

a nurse is caring for an older adult who is taking acetaminophen for the relief of chronic pain which substance is most important for the nurse to determine if the client is taking because it intensifies the most serious adverse effect of actetaminophen? 1. alcohol 2. caffeine 3. saw palmetto 4. st johns wort

1. alcohol

an client who is obese and has type 2 diabetes asks about the intake of alcohol and special "dietetic" food in the diet what should the nurse include in teaching? 1. alcohol can be consumed with its calories counted in the diet 2. unlimited amounts of sugar substitutes can be used as desired 3. alcohol shouldnt be used in cooking bc it adds too many calories 4. special dietetic foods are needed bc many regular foods cant be used

1. alcohol can be consumed with its calories counted in the diet

the nurse anticipates that which medication will be used to prevent symptoms of withdrawal in clients with a long history of alcohol abuse? 1. lorazepam (Ativan) 2. phenobarbital (Luminal) 3. chlorpromazine (Thorazine) 4. methadone hydrochloride (Methadone)

1. lorazepam (Ativan)

a client who is obese and has a history of alcohol abuse is admitted to the hospital with a diagnosis of acute pancreatitis what is the priority expected client outcome in response to therapy at this time? 1. report decreased pain 2. remain in fluid balance 3. lose 4 lbs a week 4. join AA

1. report decreased pain

a pregnant woman continues consuming alcohol during pregnancy which teratogenic effects might be seen in the fetus or neonate? select all that apply 1. stillbirth 2. ebstein anomaly 3. neural tube defects 4. spontaneous abortion 5. intellectual disabilities

1. stillbirth 4. spontaneous abortion 5. intellectual disabilities

A nurse knows individuals who are alcoholics use alcohol for what reason? 1. to blunt reality 2. to precipitate euphoria 3. to promote social interaction 4. to stimulate the CNS

1. to blunt reality

a client is admitted to the hospital with ascites the client reports drinking a quart of vodka mixed in orange juice everyday for the past three months to assess the potential for withdrawal symptoms which questions would be appropriate for the nurse to ask the client? 1. when was your last drink of vodka 2. what prompts your drinking episodes 3. do you also eat when you drink 4. why do you mix the vodka with oj

1. when was your last drink of vodka

A nurse uses the CAGE screening test for alcoholism to determine an individual's potential for a drinking problem. What is one of the four questions included on this test? 1 "Do you feel that you are a normal drinker?" 2 "Have you ever felt bad or guilty about your drinking?" 3 "Are you always able to stop drinking when you want to?" 4 "How often did you have a drink containing alcohol in the past year?"

2 "Have you ever felt bad or guilty about your drinking?"

what is the best advice a nurse can provide to a pregnant woman in her first trimester? 1. cut down on drugs, alcohol, and cigarettes 2. avoid drugs and dont smoke or drink alcohol 3. avoid smoking, limit alcohol consumption, and dont take aspirin 4. take only prescription drugs, especially in the second and third trimesters

2. avoid drugs and dont smoke or drink alcohol

discharge instructions for the client diagnosed with cirrhosis with varices should include information about the importance of what? select all that apply 1. adhering to a low carbohydrate diet 2. avoiding aspirin and aspirin containing products 3. limiting alcohol consumption to 2 drink weekly 4. avoiding acetaminophen and products containing acetaminophen 5. avoiding coughing, sneezing, and straining to have a BM

2. avoiding aspirin and aspirin containing products 4. avoiding acetaminophen and products containing acetaminophen 5. avoiding coughing, sneezing, and straining to have a BM

which condition is a physical condition in an alcoholic client? 1. social isolation 2. risk for poisoning 3. ineffective impulse control 4. risk for compromised human dignity

2. risk for poisoning

a nurse is caring for a client who has been hospitalized for alcohol withdrawal the client decides to attend an Alcoholics Anonymous meeting what is a basic principle of this group? 1. spouses should attend Al-Anon meetings 2. a commitment to permanent abstinence must be made 3. amends must be made to each person who has been harmed 4. people have the power to overcome alcoholism if they truly want to stop drinking

3. amends must be made to each person who has been harmed

a client is diagnosed with acute gastritis secondary to alcoholism and cirrhosis the client reports frequent nausea, pain that increases after meals, and black tarry stools the client recently joined alcoholics anonymous the nurse should give priority to which patient history item? 1. pain that increases after meals 2. freq nausea 3. black tarry stools 4. joining AA

3. black tarry stools

A nurse tells the family member of an alcoholic client, "This condition occurs in individuals who have developed physiologic dependence on alcohol and then quit drinking abruptly." To which condition is the nurse referring? 1. Korsakoff psychosis 2. Fetal alcohol syndrome 3. Wernicke encephalopathy 4. Alcohol withdrawal syndrome

4. Alcohol withdrawal syndrome

a nurse is providing information about alcoholic anonymous meetings to a client with a history of alcohol abuse what will be required when the client attends AA meetings? 1. speaking aloud at weekly meetings 2. maintaining controlled drinking after 6 months 3. promising to attend at least 12 meetings yearly 4. acknowledging an inability to control the alcoholism

4. acknowledging an inability to control the alcoholism

a nurse is discussing plans with a client who has decided to withdraw from alcohol what should the nurse recommend as one of the most effective treatments for alcoholism? 1. individual or group psychotherapy 2. admission to an alcoholic unit in a hospital 3. daily administration of disulfiram (Antabuse) 4. active membership in alcoholics anonymous

4. active membership in alcoholics anonymous

a client who has been admitted to the hospital for an elective prostatectomy is extremely anxious and has hand tremors the clients partner informs the nurse that the client has been drinking heavily for the past 5 years while the client is unpacking his items from home the nurse sees him hiding a bottle of whiskey in the rear of a drawer how should the nurse respond initially to this behavior?

4. asks how much alcohol a week

a practitioner prescribes disulfiram (Antabuse) for a client who abuses alcohol the nurse remembers that disulfiram will do what? 1. affect short term memory 2. permit a healthier lifestyle 3. allow him to tolerate small amounts of alcohol 4. cause a severe adverse rxn if alcohol is consumed

4. cause a severe adverse rxn if alcohol is consumed

which disorders are complications associated with alcoholism? select all that apply 1. rhinitis 2. sinusitis 3. delirium tremens 4. korsakoff psychosis 5. wenicke encephalopathy

3. delirium tremens 4. korsakoff psychosis 5. wenicke encephalopathy

a client who is on the third day of detoxification therapy becomes agitated and restless what are the signs and symptoms that indicate impending alcohol withdrawal delirium? select all that apply 1. polydipsia 2. drowsiness 3. diaphoresis 4. tachycardia 5. hypertension

3. diaphoresis 4. tachycardia 5. hypertension

what is the purpose of administering intravenous (IV) fluids as prescribed while performing detoxification of an alcoholic client? 1. to raise the seizure threshold 2. to encourage better air exchange 3. to correct the clients fluid and electrolyte imbalance 4. to manage the clients tremors, nervousness, and restlessness

3. to correct the clients fluid and electrolyte imbalance

naltrexone is used to treat clients with substance abuse problems in which situation does the nurse anticipate that naltrexone will be administered? 1. to treat opioid overdose 2. to block the systemic effects of cocaine 3. to decrease the recovering alcoholics desire to drink alcohol 4. to prevent severe withdrawal symptoms from antianxiety agents

3. to decrease the recovering alcoholics desire to drink alcohol

which alcoholism associated disorder causes damage to the client lobs of the brain? 1. delirium tremens 2. fetal alcohol syndrome 3. wenicke encephalopathy 4. alcohol withdrawal syndrome

3. wenicke encephalopathy

a nurse is caring for a client with a diagnosis of acute pancreatitis and alcoholism the client asks "what does my drinking have to do with my diagnosis?" what effect of alcohol should the nurse include when responding? 1. promotes the formation of calculi in the cystic duct 2. stimulates the pancreas to secrete more insulin than it can be immediately produce 3. alters the composition of enzymes so theyre capable of damaging the pancreas 4. increases enzyme secretion and pancreatic duct pressure that causes backflow of enzymes into the pancreas

4. increases enzyme secretion and pancreatic duct pressure that causes backflow of enzymes into the pancreas

a LPN is learning about delirium tremens DTs an alcoholism associated disorder that occurs as a complication of alcohol withdrawal which statement made by the LPN indicates effective understanding? 1. it causes damage in the temporal lobes of the brain 2. it occurs 5 or 6 days after the cessation of alcohol intake and lasts 1 or 2 days 3. it is chronic psychotic rxn that results from excessive alcohol consumption over a long period 4. it is characterized by shaking and increase in activity disorientation, and increased temp

4. it is characterized by shaking and increase in activity disorientation, and increased temp

while educating a group of nursing students about the various effects of commonly abused substances a nurse explains delirium tremens which statement made by a student nurse indicates effective understanding? 1. it may cause damage in the temporal lobes to the clients brain 2. it can be treated by supporting ventilation and administering naloxone as prescribed 3. it is characterized by short term memory loss, disorientation, muttering, and delirium 4. it often occurs one to four days after cessation of alcohol use and lasts from 2 days to a week

4. it often occurs one to four days after cessation of alcohol use and lasts from 2 days to a week

what behavior by a client with a long history of alcohol abuse is an indication that the client may be ready for treatment? 1. drinking only socially 2. not drinking for a week 3. hospitalization for detoxification 4. verbalizing an honest desire for help

4. verbalizing an honest desire for help