Mental Health 4 semester

A patient with a history of heavy alcohol use is diagnosed with acute gastritis. Which statement by the patient indicates a willingness to stop alcohol use?

"I am older and wiser now, and I think I can change my drinking behavior."

Postoperative care for a patient who smokes a pack of cigarettes daily?

(Nicotine patches) Improve sleep

A client has been diagnosed with dementia related to chronic and heavy alcohol consumption.In a family meeting with the client, discharge plans are being discussed. Which of the following points should the nurse share with the family and client?Select all that apply

4. Safety alarms on the doors will helpto keep the client from wandering off. 5. As the need for supervision increases, it may be necessary for the client to be placed in anextended care facility

Assessment finding of Alcohol Abuse

Abdominal Tenderness

Which assessment finding would alert the nurse to ask about the patient alcohol use?

Abdominal Tenderness

Sexual Assault teaching

Administer prophylactic treatment for sexually transmittedi nfections

During physical assessment of a patient who has frequent nosebleeds, the nurse finds nasal sores and necrosis of the nasal septum. The nurse should ask the patient specifically about the use of which drug?

Cocaine

DT withdrawal

Complicationsdiaphoresiselevated temperaturevisual or auditory hallucinationsdisorientation

The nurse is assessing a client who has fallen twice in the last 2 days. The client has been diagnosed with delirium tremens (DTs) following withdrawal from alcohol use. The nurse should further evaluate the client for which of the following? Select all that apply.

Disoriented Elevated Temperature Diaphoresis Visual or auditory hallucinations

A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which ofthe following findings should the nurse expect? (Select all that apply.)

Fine tremors in both hands Vomiting restlessness

An alcohol-intoxicated patient with a penetrating wound to the abdomen is undergoing emergency surgery. What will the nurse expect the patient to need during the perioperative period?

Frequent monitoring for bleeding and respiratory complications

While assessing elderly patient

Have family member stay in waiting area while being assessed

Which of the following client statements indicates to the nurse that the client needs further teachingabout disulfram (Antabuse)?

I can drink one or two beers and not get sick while on Antabuse

Family Violence

Intentionally causing someone to fall is an example of physical neglect

Therapeutic statement to tell pt after being diagnosed with Chlamydia

It is understable that you are very upset with your husband right now

A disoriented and agitated patient comes to the emergency department and admits using methamphetamine.Vital signs are blood pressure 162/98, heart rate 142 and irregular, andrespirations 32. Which action by the nurse is most important?

Monitor the patient's electrocardiogram (ECG) and vital signs.

Alcohol Dependency

Multiple arrests for driving under theinfluence most therapeutic Being firm and direct multiple arrests±key

A patient who is admitted to the hospital for wound debridement admits to using fentanyl(Sublimaze) illegally. What finding does the nurse expect?

Nausea and Diarrhea

Alcohol detoxification

Nursing interventions monitoring intake and output taking vital signs explaining to the client that the symptoms of withdrawal are temporary reinforcing reality if the client is disoriented or hallucinating placing the client in restraints as a safety measure

staff Education program on substance abuse in older adults

Olderadults are at an increased risk for substance use following retirement.

Family and community violence

Pregnancy increases the risk for violence from a spouse or partner

An intoxicated client is admitted to the hospital for alcohol withdrawal. Which of the following should the nurse do to help the client become sober?

Provide the client with a quiet room to sleep in

A patient who smokes a pack of cigarettes daily develops tachycardia and irritability on the second day after abdominal surgery. What is the nurse's best action at this time?

Request a prescription for a nicotine replacement agent

The client is admitted to the hospital for alcohol detoxifcation. Which of the following interventions should the nurse use? Select all that apply.

Taking vital signs monitoring intake and output reinforcing reality if the client is disoriented or hallucinating Explaining to the client that withdrawals are temporary

A client diagnosed with major depression and substance dependence is being admitted to the Dual Diagnosis Unit. In explaining the focus of this program, the nurse should tell the client?

There will be simultaneous treatment of the addiction and depression

A client is entering rehabilitation for alcohol dependency as an alternative to going to jail for multiple DUIs (driving under the influence). While obtaining the client's history, the nurse asks about the amount of alcohol he consumes daily. He responds, "I just have a few drinks with the guys after work." Which of the following responses by the nurse is most therapeutic?

You say you have a few drinks, but you have multiple arrests

A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the following interventions should the nurse identify as the priority?

implement seizure precautions

A nurse is planning a staff education program on substance use in older adults. Which of the following is appropriate for the nurse to include in the presentation?

older adults are at an increased risk for substance use following retirement.