chapter 35
17. A patient has begun attending AA meetings. Which statement reflects the patient's understanding of the purpose of this organization? 1. "They claim they will help me stay sober." 2. "I'll dry out in AA, and then I can have a social drink once in a while." 3. "AA is only for people who have reached the bottom." 4. "If I lose my job, AA will help me find another."
1. "They claim they will help me stay sober."
3. Two days after surgery, a patient is agitated and asking to be discharged home because he cannot get any rest in the hospital. Slight tremors in his hands are noted. The admission records indicate that the patient states he does not use alcohol or drugs. Which coping mechanism is this patient probably using? 1. Denial 2. Regression 3. Guilt 4. Hostility
1. Denial
6. A patient's nervousness has escalated, and this evening he keeps looking over his shoulder. He shouts out, "There's a fire!" Upon entering his room, the nurse finds the patient huddled in a corner, diaphoretic and with a fearful expression. The nurse reassures him that there is no fire and assesses him, finding the following: blood pressure of 160/95, pulse rate of 132, respiration rate of 30, and temperature of 100° F. Which of these manifestations is consistent with delirium tremens? (Select all that apply.) 1. Fever 2. Abdominal cramping 3. Nervousness 4. Fear 5. Disorientation
1. Fever 3. Nervousness 4. Fear 5. Disorientation
16. A person addicted to heroin is likely to exhibit which symptoms of withdrawal? (Select all that apply.) 1. Nausea and vomiting, diarrhea, and diaphoresis 2. Tremors, insomnia, and hypotension 3. Incoordination and unsteady gait 4. Decreased heart rate and flushing 5. Chills and fever
1. Nausea and vomiting, diarrhea, and diaphoresis 5. Chills and fever
9. The nurse is caring for a patient who has been using MDMA (Ecstasy). Why is this substance considered to be neurotoxic? 1. Serotonin is depleted in the brain, which damages brain cells. 2. Dehydration causes neurologic damage. 3. Heart damage results from malignant hyperthermia. 4. Inner ear damage leads to deafness.
1. Serotonin is depleted in the brain, which damages brain cells.
35.The nurse uses the CAGE questionnaire to assess a patient. The nurse suspects the patient is an alcoholic if there are affirmative answers for _____ items on the questionnaire.
2
12. A patient is scheduled for abdominal surgery. He tells the nurse that his uncle became addicted to narcotics after his surgery; fearing that he too could become addicted, he does not want to receive any narcotics. What is the nurse's most appropriate response? 1. "Don't worry. You can refuse to take them." 2. "Usually narcotics are given in the first few days after surgery; then you will be given a milder pain reliever for your pain. You will not be given narcotics long enough to become addicted." 3. "Your fear of addiction is unfounded, but I will tell your health care provider about your concern." 4. "I've never heard of anyone getting hooked on narcotics after surgery."
2. "Usually narcotics are given in the first few days after surgery; then you will be given a milder pain reliever for your pain. You will not be given narcotics long enough to become addicted."
1. An early age at the onset of drinking alcohol is a strong risk factor for developing which disorder? 1. Alzheimer's disease 2. Alcohol or substance abuse 3. Resistance to chemical dependency 4. Immunity to alcohol
2. Alcohol or substance abuse
13. The nurse is ready to give the end-of-shift report to the nurse in charge of the unit for the next shift. When the oncoming nurse arrives 15 minutes late, she does not make eye contact, she smells of mints, her hands are trembling, her uniform is disheveled, and her shoes are untied. She asks no questions regarding any patients, and leaves the room when the report is completed. What should the first nurse do? 1. Go home because the shift is completed. 2. Call the supervisor and report observations. 3. Stay on the unit until she is sure the oncoming nurse has no questions regarding the patients. 4. Call the state board of nursing and report the oncoming nurse's behavior.
2. Call the supervisor and report observations.
8. The nurse is caring for a patient who is in the emergency department after a suspected "date rape." What benzodiazepine drug is most likely to be implicated? 1. Diazepam (Valium) 2. Flunitrazepam (Rohypnol) 3. PCP 4. LSD
2. Flunitrazepam (Rohypnol)
7. A 25-year-old patient entered the hospital with diagnoses of septicemia and infective endocarditis. He admits to using IV heroin regularly. For what withdrawal symptoms should the nurse monitor? 1. Red rash similar to that of chickenpox 2. Head cold and flulike signs and symptoms 3. Intractable singultus 4. Severe joint pain and back pain
2. Head cold and flulike signs and symptoms
5. What area of the brain is most often affected by psychoactive substances and has the potential to sustain permanent damage? 1. Brainstem 2. Limbic system 3. Cerebellum 4. Corpus callosum
2. Limbic system
4. A patient was found unconscious in his apartment with four empty bottles of whiskey and was brought to the hospital by his family. Upon admission, he moans out loud and is having dry heaves and diarrhea. What is the best way to maintain his airway? 1. Elevate the head of the bed to ease breathing, and place an emesis basin on the patient's lap. 2. Place the patient in the side-lying position until the swallowing reflex is intact. 3. Adjust the bed to the reverse Trendelenburg position until the patient regains consciousness. 4. Tape an oral suction catheter in place to avoid aspiration.
2. Place the patient in the side-lying position until the swallowing reflex is intact.
15. The nurse is performing a physical assessment on a patient who has a history of long-term cocaine use. Which finding is indicative of long-term cocaine use? 1. Constricted pupils 2. Red, irritated nostrils 3. Conjunctival redness 4. Muscle aches
2. Red, irritated nostrils
14. A patient has begun a substance abuse outpatient treatment program and is allowed to return to work, with supervision. Which statement by the patient indicates that she is recovering from her substance abuse problem? 1. "I wish I knew who turned me in to administration; I would like to give that nosy witch a piece of my mind!" 2. "Just because I had a glass of wine with a meal before I came to work once or twice, I'm going to be watched like a hawk. What a pain!" 3. "I realize that I'm going to have to regain the trust of my coworkers and administrators, but I can do that, one day at a time." 4. "If other people took their jobs as seriously as I take mine, they wouldn't have time to rat on other people."
3. "I realize that I'm going to have to regain the trust of my coworkers and administrators, but I can do that, one day at a time."
10. Amotivational cannabis syndrome is suspected in a patient. What findings would support this diagnosis? (Select all that apply.) 1. Periods of euphoria 2. Obsession with personal hygiene 3. Apathy 4. Sharp increases in appetite, commonly referred to as the "munchies" 5. Irritability
3. Apathy 5. Irritability
18. The nurse is caring for a patient who is in the acute care unit for elective surgery. What findings during the patient's hospitalization would be consistent with alcohol withdrawal? (Select all that apply.) 1. Euphoria and hyperactivity 2. Depression and hypersomnia 3. Diaphoresis and nausea 4. Below normal temperature and bradycardia 5. Vomiting and tremors
3. Diaphoresis and nausea 5. Vomiting and tremors
2. In all deaths related to motor vehicles and fatal intentional injuries, alcohol is involved in what percentage of them? 1. 7% 2. 10% 3. 17% 4. 38%
4. 38%
11. A nurse with a history of drug-related charges has action taken against her practitioner's license. Where is this reported? 1. National Health and Welfare Records Department 2. Healthcare Management Organization of the United States 3. Federal Drug Enforcement Agency 4. Healthcare Integrity and Protection Data Bank
4. Healthcare Integrity and Protection Data Bank
11. The nurse uses the CAGE challenge to alcoholics who persist in denial. The G in the set of questions from CAGE stands for: a. Do you feel like you must get alcohol? b. Do you go out to drink? c. Is memory of drinking episodes gone? d. Do you feel guilty about your drinking?
D. Do you feel guilty about your drinking?
34.When assessing an alcoholic patient, the nurse notes short-term memory loss, painful extremities, footdrop, and muttered incoherent responses to questions. The nurse recognizes these symptoms as most likely related to a condition caused by long-term alcohol abuse, which is known as __________ syndrome.
Korsakoff syndrome is a permanent condition caused by long-term alcohol use. The patient mutters incoherently and experiences short-term memory loss, painful extremities, and footdrop.
36.The nurse cautions that a person who chronically abuses drugs may experience mental impairment. The area of the brain that can be affected and permanently damaged is the ________ _________.
Limbic system
13. The nurse recognizes a potential health threat to an alcoholic client who is using the drug disulfiram (Antabuse) when the nurse reads in the health record that the client is also taking a. Coumadin. b. diphenhydramine (Benadryl) tablets. c. Milk of Magnesia. d. penicillin.
a. Coumadin.
21. The nurse is caring for a patient who has a heightened risk for seizures during his alcohol detoxification. Which medication may be included in the patients care? a. Magnesium sulfate b. Chlordiazepoxide (Valium) c. Promethazine (Phenergan) d. Dicyclomine (Bentyl)
a. Magnesium sulfate
7. After detoxification from substance abuse, the patient says, I feel better than I have in years! All I needed was some rest. I am not an alcoholic. The nurse should respond to this by saying: a. What were you doing that got you admitted to the detoxification center? b. Alcoholism has many definitions. What is yours? c. Admitting to alcoholism is hard. d. Alcoholism has ruined your life. How can you say you are not an alcoholic?
a. What were you doing that got you admitted to the detoxification center?
28. The nurse reminds a family that the decision to become substance free is difficult because it involves commitment to: (Select all that apply.) a. a lifestyle change. b. new coping skills. c. honesty in communication. d. awareness of possible periods of relapse. e. completing the program in 12 months.
a. a lifestyle change. b. new coping skills. c. honesty in communication. d. awareness of possible periods of relapse.
24. The nurse cautions the recovering alcoholic who is on disulfiram (Antabuse) that even the smallest exposure to alcohol can cause: (Select all that apply.) a. chest pain. b. nausea and vomiting. c. hypertension. d. blurred vision. e. blinding headache.
a. chest pain. b. nausea and vomiting. d. blurred vision.
16. To better ensure successful rehabilitation from substance abuse, it is essential that the patient, family, and medical professional: a. collaborate on goals for treatment. b. be alert to relapse. c. agree that all drugs and paraphernalia be discarded. d. support commitment to a 12-step program.
a. collaborate on goals for treatment.
25. The nurse assesses indications that the recovering alcoholic may be developing Wernickes encephalopathy when the nurse observes: (Select all that apply.) a. confusion. b. hallucinations. c. verbally aggressive behavior. d. ataxia. e. seizures.
a. confusion. d. ataxia.
3. The nurse explains the difference between an enabler and a co-dependent is that a co-dependent: a. covers up the behavior of the substance abuser. b. rationalizes the behavior of the substance abuser. c. uses the behavior of the substance abuser to build up his or her own self-esteem. d. is also a substance abuser.
a. covers up the behavior of the substance abuser.
27. The nurse is aware that users of inhalants and hallucinogens are a danger to themselves and others because these drugs cause: (Select all that apply.) a. distortion of senses. b. impaired sense of time. c. uncontrolled flashbacks. d. panic. e. severely impaired judgment.
a. distortion of senses. b. impaired sense of time. c. uncontrolled flashbacks. d. panic. e. severely impaired judgment.
13. The nurse is concerned about a coworker who exhibits a sign of amphetamine abuse, such as: a. excited speech. b. attention to detail. c. sluggish, slurred speech. d. eating sweets constantly.
a. excited speech.
22. The nurse lists the diagnostic criteria for the diagnosis of substance abuse, which are: (Select all that apply.) a. failure to meet obligations (school, work, relationships). b. putting self and others in potential harm (speeding, recklessness). c. conflict with law enforcement authorities. d. physical debilitation. e. denying substance abuse.
a. failure to meet obligations (school, work, relationships). b. putting self and others in potential harm (speeding, recklessness). c. conflict with law enforcement authorities.
23. The nurse reviews the criteria for the diagnosis of alcohol dependency, which include: (Select all that apply.) a. identifiable withdrawal signs and symptoms. b. decreasing tolerance. c. altered family relationships. d. blackouts or amnesia pertinent to drinking episodes. e. altered occupational productivity.
a. identifiable withdrawal signs and symptoms. c. altered family relationships. d. blackouts or amnesia pertinent to drinking episodes. e. altered occupational productivity.
5. A person in jail for public intoxication has been without alcohol for 12 hours. The jail nurse would be alert for withdrawal signs of: a. irritability. b. nausea and vomiting. c. hallucinations. d. seizures.
a. irritability.
26. The nurse encourages a substance abuser to join a support group because the purpose of a support group is to: (Select all that apply.) a. provide healthy relationships. b. offer opportunity to practice new coping skills. c. decrease stress and anxiety. d. improve social skills. e. provide opportunity for catharsis.
a. provide healthy relationships. b. offer opportunity to practice new coping skills. c. decrease stress and anxiety. d. improve social skills. e. provide opportunity for catharsis.
7.The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers. What is the legal blood alcohol serum level in most states? a. 0.08% b. 0.20% c. 0.40% d. 0.50%
a. 0.08%
32.The nurse should assess a patient for which criteria of addiction? (Select all that apply.) a. Excessive use of the substance b. Increase in social function c. Uncontrollable consumption d. Increase in economic function e. Psychological disturbances
a. Excessive use of the substance c. Uncontrollable consumption e. Psychological disturbances
8.A pregnant adolescent tells the nurse that she only drinks a little. How many drinks per day can cause an adverse effect in an infant? a. One drink a day b. Two drinks a day c. Three drinks a day d. Four drinks a day
a. One drink a day
26.What nursing intervention should be included in the plan of care for a baby born to a drug-addicted mother? a. Swaddle the baby closely b. Place the baby in a brightly lit area c. Hold and rock the baby frequently d. Place the baby in a busy part of the nursery for stimulation
a. Swaddle the baby closely
31.During the initial intake assessment of a drug user, the nurse should attempt to obtain which subjective data? (Select all that apply.) a. Usual pattern of use b. Specific drug c. Previous arrests d. Amount of drug used e. Time of last use
a. Usual pattern of use b. Specific drug d. Amount of drug used e. Time of last use
21.The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement? a. I drink because Im lonely. b. All my difficulties are related to my drinking. c. I wouldnt need to drink if I had my family back. d. My drinking helps me cope with the stress of my job.
a.I drink because Im lonely.b.All my difficulties are related to my drinking.
15.What severe side effect will occur if an alcoholic patient consumes alcohol while taking disulfiram (Antabuse)? a. Nausea b. Blackouts c. Headaches d. Hypertension
a.Nausea
19.A patient seems bewildered when he confides in the nurse that all of his friends and leisure time have been centered on a drug culture. Which would be the best response by the nurse? a. What other sort of activities might you enjoy? b. You will need to get new friends. c. Returning to those activities will get you back here and in trouble. d. You need to get a hobby.
a.What other sort of activities might you enjoy?
Uses psychoactive drugs in non therapeutic manner
abuse
Needs substance to prevent symptoms of withdrawal:
addiction
20. The nurse is caring for a patient who is undergoing detoxification from alcohol. Which supplement can the nurse expect to be included in the prescribed medications? a. Potassium chloride supplements b. Thiamine c. Riboflavin d. Folic acid
b. Thiamine
10. The nurse is aware that when Korsakoffs syndrome is suspected from behavioral cues, the syndrome can be confirmed by: a. liver biopsy. b. brain scan. c. magnetic resonance imaging. d. spinal tap.
b. brain scan.
3. To prevent a severe withdrawal reaction from alcohol, the nurse explains that drugs from the benzodiazepine group are given because these agents a. cause less nausea and vomiting. b. cause less respiratory depression. c. inhibit the urge to drink. d. raise the blood pressure.
b. cause less respiratory depression.
2. A client who was admitted 2 days ago for assessment after a fall in his home has become increasingly irritable and now says there are bugs on his bed. He is diaphoretic and has a blood pressure of mm Hg. The nurse assesses a. alcohol-induced psychosis. b. delirium tremens. c. neurologic injury related to the fall. d. post-traumatic stress reaction.
b. delirium tremens.
1. The alcoholic patient says to the nurse, I am not an alcoholic. I can quit any time I want to. The nurse recognizes the defense mechanism of: a. repression. b. denial. c. rationalization. d. intellectualization.
b. denial.
17. The nurse is aware that before nurses can be effective in dealing with substance abusers, nurses must: a. be familiar with self-help programs. b. examine their own bias relative to substance abuse. c. be knowledgeable about theories of addiction. d. be consistent.
b. examine their own bias relative to substance abuse.
14. The nurse is aware that many people who abuse Cannabis (marijuana) rationalize their use because of the drugs ability to: a. sedate them. b. expand their senses. c. heighten sexual pleasure. d. be obtained legally for therapeutic purposes.
b. expand their senses.
18. A patient who has been given naloxone (Narcan) for an overdose of opiates is rapidly recovering from the effect of his heroin overdose when suddenly he relapses and his level of consciousness and respirations decrease. The nurse should: a. inform the charge nurse. b. repeat the Narcan. c. start CPR. d. ambulate the patient.
b. repeat the Narcan.
14.The nurse explains that Alcoholics Anonymous (AA) consists of abstinent alcoholics who help other alcoholics become and stay sober. What is the foundation of AA? a. Psychotherapy b. A 12-step program c. Treatment center d. Individual counseling
b. A 12-step program
33.A nurse suspects her a co-worker is abusing drugs. Which of the following symptoms, noticed in the co-worker, would contribute to the suspicions? a. Spending more time with co-workers b. Frequently absent from the unit c. Rapid changes in mood and performance d. Increased somatic complaints e. Patients report they did not receive their medications
b. Frequently absent from the unit c. Rapid changes in mood and performance d. Increased somatic complaints e. Patients report they did not receive their medications
therapeutic response? a. Well, why dont you? b. Hasnt alcohol use interfered with your employment? c. A positive attitude like that is a good start. d. What would you call alcoholism?
b. Hasnt alcohol use interfered with your employment?
10.The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers? a. Not asking personal questions b. Having a nonjudgmental attitude c. Including the family d. Promising the patient not to tell anyone
b. Having a nonjudgmental attitude
11.During the detoxification period, what does the nurse aim to achieve when designing interventions? a. Enroll the patient in Alcoholics Anonymous (AA) b. Keep the patient safe from aspiration and seizure c. Help the patient interact in nonaddictive activities d. Help the patient gain insight into the addiction
b. Keep the patient safe from aspiration and seizure
20.When a patient is admitted with an overdose of an opioid narcotic, the nurse should anticipate an order for which drug to reverse the effects of the narcotic? a. Clonidine b. Narcan c. Orlaam d. Methadone
b. Narcan
5.What must a patient in the late stages of dependence do in order to recover? a. Gain insight into the addiction b. Receive treatment for substance abuse c. Pledge to lead a completely different lifestyle d. Seek a nondrug-oriented support system
b. Receive treatment for substance abuse
29.What should the nurse do when suspecting a co-worker of abusing drugs while at work? a. Confront the abuser b. Report observations to a supervisor c. Call the state board of nursing d. Discuss the problem with another co-worker
b. Report observations to a supervisor
22.While creating a methadone protocol for a patient rehabilitating from heroin addiction, the nurse explains that the patient will take methadone for what length of time? a. Daily for the rest of his life b. Daily until stabilized, then gradually reduce the dose to zero c. Weekly for at least 6 months, then decrease the dose to once a month d. Monthly for 6 to 10 months, then decrease the dose to zero
b.Daily until stabilized, then gradually reduce the dose to zero
7. The nurse evaluates that the client has learned an important fact about cocaine use when he says a. Cocaine is not addictive. I can use it as a recreational drug. b. Cocaine withdrawal is relatively easy. There is only mild fatigue. c. I know a young person can have a heart attack from using cocaine. d. Since cocaine is a depressant, one should not drive under its influence.
c. I know a young person can have a heart attack from using cocaine.
6. The nurse reminds the client that in the United States, the most widely used psychoactive substance is a. alcohol. b. amphetamines. c. caffeine. d. marijuana.
c. caffeine.
9. During history-taking, a client tells the nurse that he is addicted to caffeine and that he drinks 10 to 12 cups of coffee a day as well as several cola drinks and iced tea. The nurse would warn the client that during his NPO status for surgery, he should expect to experience a. diarrhea. b. euphoria. c. headache. d. itching.
c. headache.
10. The school nurse is called into an art class by the teacher to observe a student who is smiling and giggling as he sprays fixative on his charcoal picture. The students eyes and nose are red, and he is coughing. The school nurse assesses that the student may be experiencing a. a seasonal cold. b. an allergic reaction. c. inhalant abuse. d. use of an opioid.
c. inhalant abuse.
4. For a client experiencing alcohol withdrawal, the action that the nurse would include in the clients plan of care is to a. describe how the alcohol is causing the withdrawal effects. b. leave the client by him/herself so as not to cause agitation. c. promote a safe, calm, and comfortable environment. d. refer the client to an alcohol-abuse counselor.
c. promote a safe, calm, and comfortable environment.
1. The theory that describes substance abuse as a learned behavior is called the a. biologic model. b. family system model. c. psychological model. d. sociocultural model.
c. psychological model.
2. The wife of an alcoholic tells the nurse, My husband only drinks on the weekends to relax. He has a very stressful job. The nurse recognizes the defense mechanism of: a. repression. b. denial. c. rationalization. d. identification.
c. rationalization.
6. A patient who is still intoxicated has been admitted for detoxification at the treatment center. The nurse takes into consideration that the patient will be supported in his withdrawal with the use of: a. psychotherapy support only. b. heavy doses of opioids to keep the patient sedated for 72 hours. c. symptomatic relief until substance has cleared from his system. d. titrated amounts of alcohol until severe withdrawal is over.
c. symptomatic relief until substance has cleared from his system.
12.What should the entire health team focus on during the rehabilitation phase? a. Establishing a support system b. Seeking and maintaining employment c. Abstaining from drug use d. Addressing the problems related to addiction
c. Abstaining from drug use
6.What is the best response by a nurse when a patient inquires how alcohol acts so quickly on his system? a. Alcohol is digested quickly. b. Alcohol is converted to glycogen immediately. c. Alcohol is metabolized into ethanol rapidly. d. Alcohol is excreted in urine slowly.
c. Alcohol is metabolized into ethanol rapidly.
23.A 22-year-old patient presents in the emergency department with the characteristics of severe Parkinson disease. The nurse should suspect an overdose of what drug? a. Marijuana b. Cocaine c. Amphetamines d. Valium
c. Amphetamines
28.What should the nurse do to decrease the damage of bruxism seen in a patient who has been abusing the drug ecstasy? a. Turn the patient to his right side b. Elevate the head of the bed 30 degrees c. Provide the patient with a pacifier d. Administer a muscle relaxant
c. Provide the patient with a pacifier
27.What is the greatest problem with lysergic acid diethylamide (LSD) use? a. The drug is addictive. b. The drug stimulates drug-seeking behavior. c. The drug causes flashbacks. d. The drug sets off hypertensive episodes.
c. The drug causes flashbacks.
1.A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete? a. Cardiac problems b. Respiratory problems c. Withdrawal problems d. Circulatory problems
c. Withdrawal problems
4.What stage of dependence is described by a patient when he tells the nurse that he has tried to stop his drug habit, but he does not feel normal without it? a. Early b. Prodromal c. Middle d. Late
c.Middle
30.Which statement describes the impaired nurse who is in a peer assistance program? a. The nurse has a revoked nursing license. b. The nurse does not have to notify her employer. c. The nurse will be allowed to work as a nurse under supervision. d. The nurse will be reported to the Healthcare Integrity and Protection Data Bank.
c.The nurse will be allowed to work as a nurse under supervision.
12. The nurse is aware that the newly admitted patient who overdosed on lorazepam (Ativan) will show signs of withdrawal in _____ hours. a. 8 b. 24 c. 36 d. 72
d. 72
8. A young man is brought to the emergency department after having a seizure at home. Assessment reveals a blood pressure of mm Hg, a respiratory rate of 6 breaths/min, and cardiac dysrhythmias. The most appropriate question the nurse should ask the clients friend is a. Does he take amphetamines or uppers? b. Has he ever used LSD? c. Have you two been out of the country in the last 2 days? d. Is he using any opioids such as heroin?
d. Is he using any opioids such as heroin?
12. The nurse explains that disorienting flashbacks may be experienced by a client under the influence of a. alcohol. b. cocaine. c. heroin. d. LSD.
d. LSD.
8. The nurse explains that an alternative to disulfiram (Antabuse) is the drug naltrexone (ReVia), which can: a. cause severe headaches if alcohol is consumed while using the drug. b. cause a dependence on ReVia rather than on alcohol. c. release endorphin-like enzymes that mimic intoxication. d. block craving and prevent relapse.
d. block craving and prevent relapse.
19. The nurse is caring for an undernourished alcoholic patient. The nurse is helping the patient to select items from the menu. The patients diet should ideally: a. consist of at least 30% protein. b. limit fat and cholesterol. c. be limited to 2 g of sodium. d. contain at least 50% carbohydrates.
d. contain at least 50% carbohydrates.
9. The nurse encourages the recovering alcoholic to participate in group therapy because of the major and long-lasting benefit of: a. development of improved social skills. b. progression toward sobriety. c. provision of a sense of belonging. d. increasing self-discipline.
d. increasing self-discipline.
5. The assessment by the nurse that would be significant to help prevent a complication from amphetamine use is to a. check oxygen levels frequently. b. keep the lights on continuously. c. measure intake and output. d. perform neurologic assessments.
d. perform neurologic assessments.
15. When a patient is admitted after abusing a hallucinogenic substance, the care plan must be altered to include interventions for: a. dangerously elevated blood pressure. b. deep coma-like sleep. c. cardiac arrhythmias. d. provision of safety to reduce injury.
d. provision of safety to reduce injury.
11. When the school nurse hears a student conversation that is centered on having some hog, the nurse knows the students are referring to a. going on a cigarette break. b. inhaling nitrous oxide. c. injecting heroin. d. taking phencyclidine (PCP).
d. taking phencyclidine (PCP).
3.Alcohol is involved in motor vehicle accidents, suicides, and homicides. Approximately how many deaths each year are related to alcohol consumption? a. 50,000 b. 70,000 c. 80,000 d. 100,000
d. 100,000
2.What age of onset of alcohol consumption is most predictive of alcohol addiction? a. 8 or younger b. 10 or younger c. 12 or younger d. 14 or younger
d. 14 or younger
9.The nurse assesses an alcoholic patient carefully for signs of withdrawal. How soon after cessation of alcohol intake do withdrawal symptoms usually appear? a. 3 hours b. 4 hours c. 5 hours d. 6 hours
d. 6 hours
24.A college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). How long should the nurse expect the hallucinations to last? a. 30 to 60 minutes b. 1 to 4 hours c. 4 to 6 hours d. 6 to 12 hours
d. 6 to 12 hours
4. The nurse explains that, no matter whether you drink a 12-ounce beer, a 6-ounce glass of wine, or 1.5 ounces of straight liquor, it takes approximately _____ minutes for the body to metabolize it. a. 20 b. 30 c. 40 d. 60
d. 60
17.When a patient denies any problems related to addiction, what is the nurses most therapeutic response? a. What do you call this hospitalization? b. How can anybody help you if you dont see a problem? c. Would your family agree that you have no problems? d. Can you think of any time your behavior created an unpleasant situation in your life?
d. Can you think of any time your behavior created an unpleasant situation in your life?
18.Which drug is often used in date rape? a. Dalmane b. Xanax c. Narcan d. Rohypnol
d. Rohypnol
25.The mother of a young woman being treated for amphetamine overdose asks the nurse when the manifestations will subside. What would be the most correct answer by the nurse? a. Usually in 8 to 10 hours. b. She will snap out of it in a day or two. c. Usually in about 2 hours, but the effects will return in 2 to 3 days. d. The manifestations may be permanent.
d. The manifestations may be permanent.
13.What should the nurse do to decrease the patients disorientation at night during the detoxification period? a. Place the patient in a room with another recovering patient b. Instruct the patient to orient himself to his surroundings at bedtime c. Wake the patient up every 4 hours to eat a small snack d. Use nightlights and remove extra furniture from the room
d.Use nightlights and remove extra furniture from the room
Needs substance to feel good
psychological dependence
Needs increasing amounts of substance to achieve desired effect
tolerance
Symptomatically related to cessation of drug
withdrawal
