Chapter 31 -- Addiction & Substance related disorders Prep-U Questions
A client is educated about taking disulfiram at home to help with abstaining from alcohol. Which statement made by the client indicates the education provided is effective? a. "I need to read product labels carefully to avoid all products containing alcohol" b. "I'll take the med w/ food to avoid upset stomach" c. "I will skip the dose of disulfiram on days when I'm likely to drink alcohol" d. "By taking this med, it will prevent the cravings for alcohol"
a
A client will be taking disulfiram after discharge from an alcohol treatment program. Which statement would indicate that teaching has been effective? a. "Drinking alcohol while taking disulfiram can cause dangerous symptoms" b. "Disulfiram is safe to take w/ any OTC cold medication" c. "Disulfiram will block my cravings for alcohol, so I'll have less desire to drink" d. "If I drink while taking disulfiram, it will make me vomit before the alcohol effects me"
a
A nurse is caring for a client who uses phencyclidine (PCP). PCP is classified as which type of substance? a. Hallucinogen b. Cannabis c. Inhalant d. Opioid
a
Disulfiram should not be administered until a client has abstained from alcohol for at least how long? a. 12 hours b. 4 hours c. 8 hours d. 16 hours
a
The nurse educates a client w/ alcoholism that's been in rehab for 2 weeks preparing for discharge. Which statement indicates education was effective & client is best prepared for discharge? a. "To give myself the best chance for sobriety, I'll abstain from alcohol" b. "This is a good time to make lots of serious changes in my life like a new job" c. "I'll be able to maintain sobriety by looking at long-term outcomes" d. "Now that I've completed rehab, I can return to life as it
a
The nurse is preparing to discharge a client recovering from an addiction to an opioid. Which statement indicates to the nurse that teaching was effective? a. "I plan to attend the group meetings" b. "I will limit taking opioids to treat pain" c. "I can't wait to see my friends" d. "I will take a dose of the medication when I get a craving for the drug"
a
Wernicke-Korsakoff syndrome is a neurologic condition that can result from heavy drinking. Which of the following medications is used to prevent Wernicke-Korsakoff syndrome? a. Thiamine (vitamin B1) b. Folic acid (Folate) c. Cyanocabalamine (vitamin B12) d. Lorazepam (Ativan)
a
Which of the following is used as a substitute for heroin in some maintenance programs? a. Methadone b. Amphetamines c. Barbiturates d. Benzodiazepines
a
Which statement most accurately describes the etiology of substance-related disorders? a. Substance-related disorders result from the interplay of biologic genetic, and psychosocial factors b. Substance abuse is a learned behavior c. The primary predictors of substance-related disorders are childhood trauma and parental abuse or neglect d. Substance-related disorders are primarily a result of the presence of an individual's inherently addictive personality
a
A client has been admitted to the inpatient unit after using inhalants recently. Which of the following is an antidote to treat inhalant toxicity? a. Ativan b. There is not antidote c. Antabuse d. Narcan
b
A client is admitted for the third time for a substance use disorder. Which statement indicates the nurse is approaching the client with an open and objective attitude? a. "I don't understand why you keep going back to using the drug" b. "Sometimes it takes a few times before relapses stop occurring" c. "There has to be a reason rehab isn't working for you" d. "You need to really commit to this process"
b
A client w/ a hx of alcohol use disorder has presented to the ED w/ hallucinations and relays being followed by the police. Which action will the nurse take given this information? a. Prepare for lumbar puncture for viral encephalopathy b. Monitor for Korsakoff syndrome from long-term effects of alcohol use c. Determine if the client is having episodes of cognitive dementia d. Administer B12 deficiency injection using z-track method
b
A client with a history of heavy alcohol use, whose last drink was 24 hours ago, is seen in the ED. The client is oriented by is tremulous, weak, and sweaty and has some GI symptoms. The nurse recognizes these symptoms as typical of which of the following? a. Continuing intoxication b. Alcohol withdrawal syndrome c. Delirium tremens d. Wernicke-Korsakoff syndrome
b
The body can metabolize how much beer per hour w/o intoxication? a. 14 oz b. 12 oz c. 28 oz d. 16 oz
b
The mental health nurse is preparing a presentation about a prescription drug abuse to a local community group. When describing the incidence, which age group would the nurse identify as experiencing an increase? a. Middle-age males b. Adolescents c. Cognitively impaired older adults d. Chronically ill females
b
The nurse in an outpatient rehabilitation program is speaking w/ who have recently recovered from alcohol abuse. Which issue should the nurse raise before they leave for the day? a. Ask them to make a list of people they harmed during their addictions b. Help them identify appropriate diversional activities c. Suggest they try to confront other issues in their lives, like estranged relationships or financial issues d. Remind them that substance dependency is a disease, not a mental disorder
b
The nurse is caring for a client experiencing alcohol withdrawal. Which intervention will the nurse perform to alleviate the physical effects associated with alcohol withdrawal? a. Keep the client occupied with activities b. Administer first-dose chlordiazepoxide as prescribed c. Have a family member stay w/ the client during the withdrawal process d. Give warm baths q4h around the clock
b
The nurse is teaching a client about addiction. Which client statement indicates the education has been effective? a. "Addiction to substance affects mostly low socioeconomic communities" b. "A tolerance is built up over time, so more is needed to get the same effect" c. "People who have addiction disorders can change their behaviors at any time" d. "In healthcare, the available resources for treatment addiction are limited"
b
The nurse is visiting the home of a client with a substance use disorder. Which observation indicates to the nurse that the client's behavior is being enabled? a. Spouse tells client to clean up the bathroom after being sick on the floor b. Parent tells the client that attending an AA meeting isn't necessary c. Client dislikes feeling "sick" after going on a drinking binge d. Oldest child asks if the client is "sober" before bringing friend home
b
Which of the following substances is abused most often in the US? a. Nicotine b. Alcohol c. Marijuana d. Benzodiazepines
b
The client has been brought to the emergency department. The client's appearance is unkempt and their shoes do not match. The nurse has seen this client before and knows the client has a history of alcohol use disorder, homelessness, and no family. What element(s) should the nurse also consider as possibly ingested by this client? SATA a. Turpentine b. Mouthwash c. Cologne d. Rubbing alcohol e. Paint thinner
b, c, d
The nurse is talking w/ the spouse of a client admitted for substance use disorder & OD. Which statement(s) made by the spouse indicates enabling behaviors? SATA a. "I told my spouse in order to come home, they'll have to go to rehab." b. "If I don't give them money for the drugs, they'll just steal it anyway" c. "My spouse had a terrible childhood & I'd probably do the same thing" d. "I can't keep money in the house & have to lock up jewelry in a safe" e. "I'm scared
b, c, e
A client is brought to the ED by law enforcement after suspicion of driving under the influence. A blood alcohol level is drawn and is found to be 0.10 mg%. which of the following would the nurse expect to assess? a. Mood changes b. Impaired judgement c. Difficulty coordinating movements d. Giddiness
c
A client who is abusing substances is to undergo brief intervention. The nurse understands that this technique is most effective for a client who exhibits which symptoms? a. High levels of dependence b. Multiple problems involving drug use c. Short hx of drug use d. Unstable backgrounds
c
An adolescent client is brought for emergency care after being found stuporous from sniffing glue. Which treatment will the nurse anticipate for the client? a. Temporary pacemaker b. Antiemetic c. Oxygen therapy d. Naloxone
c
An adult client is being discharged home after detoxing from alcohol use. The client is prescribed disulfiram. Which statement made by the client would indicate the need for further client teaching? a. "I need to not drink alcohol while on this medication" b. "I need to get in the habit of reading all labels at home before using the product" c. "I need to wait 5-7 days after stopping this med to use products w/ alcohol in it" d. "If I consume alcohol, it possibly could be fatal"
c
As a component of the standard nursing admission assessment at the hospital, a nurse is using the CAGE tool. Which of the following questions will the nurse ask the client? a. "How many drinks do you have in a typical week?" b. "Have you ever required medical treatment for an illness related to alcohol use?" c. "Have you ever felt like you should cut down on your drinking?" d. "Do you consider yourself to be an alcoholic?"
c
The client is brought to the emergency room with opioid overdose. After the initial assessment for central nervous system (CNS) function, what will be the nurse's priority action? a. Monitor condition w/ frequent VS b. Inquire as to what opioid was taken c. Administer naloxone d. Focus on cognition and ability to arouse
c
The nurse is caring for a client experiencing acute alcohol withdrawal. The nurse understands that safe withdrawal is usually accomplished by administering which class of medication to the client? a. Antipsychotics b. Mood stabilizers c. Benzodiazepines d. Antidepressants
c
The nurse is caring for a client w/ delirium tremens (DTs). Which development constitutes a medical emergency? a. Urine has a coffee appearance b. Jaundice and irritability c. Development of seizure activity d. Atrial fibrillation on the monitor
c
The nurse is gathering data on a client who drinks vodka every day, gradually increasing over the past 2-3 years. The client maintains a job, home, and marriage. How will the nurse document the assessment data? a. The client admits alcohol use and is acutely intoxicated b. The client is abusing substances c. The client has developed a tolerance d. Screening for other substances is warranted
c
When discussing methadone treatment with a client, the nurse should include what? a. It is a nonaddictive treatment b. It takes 1-2 years to cure an opiate addict c. It decreases the severity of heroin withdrawal symptoms d. The cure rate is extremely high
c
A client is admitted for a drug OD w/ a barbiturate. Which is the priority nursing action when planning care for this client? a. Check the clients belongings for additional drugs b. Prepare a dose of ipecac, an emetic c. Pad the side rails of the bed because seizures are likely d. Monitor respiratory functions
d
A client is admitted to the emergency department for intoxication with alcohol. The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. When treated with thiamine, the client's symptoms greatly improve. Which condition was the client likely experiencing? a. Scurvy b. Alcohol dependence w/ memory impairment c. Alcohol dementia d. Wernicke-Korsakoff syndrome
d
A client with alcohol abuse is to receive disulfiram. The clients last drink was at 4 pm. The client should receive the medication no earlier than which time? a. 12 midnight b. 8 pm c. 8 am d. 4 am
d
A nurse is conducting a class for a group of high school students about marijuana use and abuse. The nurse determines that the class needs further discussion when they state which of the following? a. Marijuana has CV effects b. Some active ingredients in marijuana have been approved for medical uses c. Marijuana interferes w/ coordination and balance d. Users of marijuana always experience relaxation and euphoria
d
During an assessment, a client states the inability to have long-term relationships and fears being abandoned. Which question would the nurse ask to help identify the reason for the client's feelings? a. "Which substances do you routinely use?" b. "How many siblings do you have?" c. "How much alcohol do you consume?" d. "Did your parents consume alcohol when you were growing up?"
d
The ingestion of mood-altering substances stimulates which neurotransmitter pathway in the limbic system to produce a "high" that is a pleasant experience? a. Serotonin b. Norepinephrine c. Acetylcholine d. Dopamine
d
The nurse is interviewing family members of a client being treated for substance use disorder. Which statement by a family member would alert the nurse to the possibility of codependency? a. "This has been a difficult situation for all of us & disturbing to the entire family" b. "My sibling is so proud & happy to be able to attend the kids' ball games" c. "We can meet whenever we need to, but it's inconvenient" d. "My sibling wouldn't drink as much if their spouse was more und
d
The nurse is teaching a client admitted w/ acute alcohol withdrawal about meds used to prevent complications during alcohol withdrawal. The nurse recognizes teaching has been effective when they state? a. "By taking a disulfide, I'll be able to start my recovery process sooner" b. "Antipsychotic meds will be given gradually for my withdrawal" c. "A narcotic antagonist will be given to block the alcohol in my system" d. "I'll be given a benzodiapine over several days as a substitut
d
The nurse is working w/ a client w/ alcohol use disorder who has difficult behaviors to manage. Which action by the nurse is priority to effectively care for this client? a. The nurse identifies that they retain their own ideas about how client's behavior is managed b. The nurse must attend substance use disorder training prior to taking care of clients w/ these issues c. The nurse should inform the client that all negative behaviors will stop prior to their sessions d. The nurse must recogni
d
Which factor would contraindicate the use of disulfiram in the treatment of a client who has an alcohol use disorder? a. The client engages in binge drinking a few times a week rather than drinking constantly each day b. The client has a demonstrated family hx of alcoholism c. The client uses marijuana in addition to alcohol d. The client had six drinks a few hours ago
d