Mental health prepu

While speaking to a group of elementary-aged children, the nurse is asked what sniffing gas or glue does to the body. What response is most effective in addressing this question?

"Doing that damages the brain and other body organs."

A client's health care provider prescribes antianxiety medication. The nurse is responsible for the education plan. The client asks if it is safe to take antianxiety medication when drinking socially with friends. What is the nurse's best response to this client?

"Combining alcohol with antianxiety medication may be lethal and should be avoided."

A nurse is instructing a client who's to receive disulfiram (Antabuse). Which statement by the client demonstrates that the teaching was effective?

"I can use any antacids."

The high school nurse is explaining the dangers of substance abuse to the incoming freshman class. How would the nurse explain psychological dependence to the students?

"It involves feelings of satisfaction and pleasure from taking the drug."

The family of a client withdrawing from heroin asks a nurse why the client is receiving naltrexone (ReVia). Which response is correct?

"It's used to help reverse withdrawal symptoms."

The nurse is talking with a patient who is in the hospital from complications related to alcoholism. The patient states, "My father and grandfather were alcoholics. Do you think this is why I am?" What is the best response by the nurse?

"Many studies say that certain genes can cause alcoholism."

The nurse is caring for a client who had abdominal surgery 1 day ago. The client is reluctant to get up and ambulate because of the pain. The nurse encourages the client to take the prescribed medication (morphine sulfate) and then ambulate with assistance. The client refuses because of fear of becoming addicted to the medication. What is the nurse's best response to this client?

"Most people who receive pain medications because of a medical reason don't become addicted to the medication."

A client asks why medication therapy for the treatment of drug dependence is limited. Which statements correctly address the client's question? Select all that apply.

"There are limited specific antidotes for drug dependence." "A combination of drug therapy and counseling is most effective." "Treatment programs emphasize sobriety."

A client has been deemed a candidate for methadone therapy. What instruction should the nurse provide when preparing the client for this treatment plan?

"You'll need to come to the clinic to get your daily dose of methadone."

Which of the following instructions should a nurse provide a client with alcohol dependence who is prescribed disulfiram?

Avoid mixing disulfiram and alcohol

A client is agitated due to withdrawing from alcohol. Which group of drugs would assist the client?

Benzodiazepines

The triage nurse in the emergency department admits a client in distress. The client's parents attribute the client's distress to amphetamine use. What assessment finding would best corroborate this parent's suspicion?

Blood pressure 196/117 mm Hg

As a school nurse, you are preparing to do a presentation on cannabis and the long-term sequelae of its heavy use. To what body system or function do you understand cannabis use can cause the most damage?

Brain

In a detoxification setting, what drug minimizes opiate withdrawal symptoms?

Catapres

Nurses can help prevent drug abuse by all of the following EXCEPT:

Demanding drug testing for all clients.

Which of the following medications are used as an alcohol deterrent

Disulfiram (Antabuse)

Which neurotransmitter is most likely responsible for the rewarding and reinforcing effect of cocaine?

Dopamine

A 24-year-old male who has overdosed on diazepam is brought to the emergency department. Which of the following drugs would likely be used to treat this patient?

Flumazenil

The nurse working in the emergency department admits a client who arrived by ambulance and has respirations of 8 to 12 breaths per minute. The EMTs report finding an empty pill container of diazepam next to the client. The nurse anticipates administering what drug to this client?

Flumazenil

A female client presents to the emergency department confused and disheveled and states that she was raped. She attended a party earlier in the evening. What substance, often called a date rape drug, might have been added to her drink?

GHB

A woman comes to the emergency department reporting that she thinks she was date raped. She states that she cannot remember anything and is extremely sleepy. "I think someone put something in my drink." What drug should the nurse suspect was most likely to be put in her drink?

Gamma hydroxybutyrate

Which major cardiovascular problem may occur in a client with chronic alcoholism?

Heart failure

A client admitted with substance abuse asks you to tell her when she will be released. She has not yet been evaluated by the medical team. Your best response would be:

In general, treatment depends on the type, extent, and duration of drug-taking behavior and the particular situation for which treatment is needed.

Disulfiram is sometimes prescribed to maintain sobriety in patients with alcoholism. Which of the following statements accurately describes the effect of taking disulfiram?

It interferes with hepatic metabolism of alcohol.

An client admitted to your emergency department (ED) is experiencing hallucinations. The friend who brought him to the ED indicates that the client has used recreational drugs in the past but has not done so for many weeks. Which of the following drugs can trigger recurrent hallucinations?

LSD

You are the nurse caring for a patient with a history of substance abuse. What would be an appropriate initial goal for this patient?

Longer periods of abstinence and sobriety

A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year history of heavy drinking and is worried about developing cirrhosis of the liver. The patient agrees to take disulfiram (Antabuse). The nurse will teach the patient that the combination of alcohol and Antabuse will cause which of the following?

Nausea

A 19-year-old male client arrives at the emergency department with his friend. His friend states that they were smoking marijuana and the client suddenly began having hallucinations, began exhibiting bizarre behavior, and then became unconscious. The nurse finds that the client is hypertensive and suspects that the marijuana was laced with what substance?

PCP

Which drug would be classified as a hallucinogen?

PCP

A client reports that, "The alcohol treatment programs I've tried in the past have only helped for a little and then I start drinking again." This statement best describes which type of alcohol-related behavior?

Psychological dependence

A 17-year-old male is brought to the emergency department after taking diazepam with alcohol. The ED nurse knows to monitor the patient for which of the following adverse reactions?

Respiratory depression

During his assessment, Drew reveals that he is a frequent user of crack and has been on a binge for several days. The nurse realizes that he requires frequent cardiac assessments. The reason for this increased assessment of the cardiac system is because of the major risk for what condition as a result of crack cocaine use?

Rupture of the aorta

Which of the following is a clinical manifestation of alcohol withdrawal?

Seizures

Which of the following symptoms may be present during severe alcohol withdrawal?

Seizures

When questioned about her alcohol usage, a female client states that she drinks three martinis a night. What assessment should the nurse make of this statement?

She may have understated the amount of alcohol consumed

A family expresses concern when a family member withdrawing from alcohol is given lorazepam (Ativan). What information should be given to the family about the medication?

The medication is given for a short time to help the client complete the withdrawal process

The nurse is taking a history from a patient who states that she smokes marijuana daily. The patient says, "It mellows me out and helps me to cope with the stresses of life. I go sometimes without it and it doesn't bother me." What does the nurse determine is this patient's issue with the substance?

The patient has developed a psychological dependence for marijuana.

The triage nurse in the emergency department treats a patient and suspects the patient is abusing amphetamines. While assessing this patient, what would the nurse be likely to find?

The patient has hypertension.

A client diagnosed with a substance use disorder asks why it is necessary to attend counseling in addition to the medication being prescribed. What statement should inform the nurse's response?

There is no plan for the treatment of drug addiction that is completely effective.

The nurse is caring for a client for whom a psychological therapy has been ordered to assist with recovery from an addictive disorder. The nurse understands that what statement is true about psychological rehabilitation efforts?

They should be part of any treatment program for a drug-dependent person.

The nurse is taking a health history from a patient in the clinic and asks about the use of alcohol. The patient states that he drinks approximately a case of beer on some weekends. What does the nurse understand about this type of substance use?

This patient abuses alcohol on weekends; this is considered substance abuse.

Which of the following refers to the reduction in a drug's effect that follows persistent use?

Tolerance

Charlie, a homeless heroin addict, has been admitted into care and needs immediate intervention. A visiting health care provider has begun Charlie on methadone maintenance. What fact should the nurse consider during this client's treatment for substance use?

Using methadone maintenance may lead to a dependence on methadone.

A client admits to smoking marijuana several times a day but denies being dependent on the drug. The nurse should base the discussion with the client on what characteristic of psychological dependence?

Using the drug creates the feeling of satisfaction and pleasure.

Which of the following is a risk factor for substance abuse?

all of the above

A client is experiencing acute alcohol withdrawal. What medication does the nurse anticipate the prescriber to order?

chlordiazepoxide

A 28-year-old patient comes into the emergency department with chest pain. The client's blood pressure is 170/108, heart rate 116, and respiratory rate 32. The client states having "used drugs." The nurse would question the client about the use of:

cocaine

After reviewing the various frequently abused street drugs, a group of students demonstrates understanding of the information when they identify gamma-hydroxybutyrate as which class?

depressant

The nurse who is working in the emergency department admits a 14-year-old who is exhibiting blurred vision, confusion, impaired breathing, muscle twitches, irregular heartbeat, and excessive sweating. The client's friends says the client bought a lot of cough syrup and has been drinking it all day. The nurse understands that the client has overdosed on what over-the-counter medication?

dextromethorphan

There are several reasons why drug therapy is of limited use in treating substance dependence. Which of the following statements accurately describes a potentially serious risk of such therapy?

drug therapy could substitute one abused drug to another

A 26-year-old professional began using cocaine recreationally several months ago and has begun using the drug on a daily basis over the past few weeks. He has noticed that he now needs to take larger doses of cocaine in order to enjoy the same high that he used to experience when he first used the drug. A nurse should recognize that this pattern exemplifies

drug tolerance.

A nurse has admitted a client diagnosed with substance abuse intoxication to the unit. The nursing assessment will first be directed toward data regarding:

drug use

Health care professionals are considered to be at high risk for development of substance abuse disorders, at least partly because of what factor?

easy access

A nurse is working in the emergency department and is assigned to a client brought in by family members. The family thinks that the client is on methamphetamine. The nurse should assess for:

hypertension

A client, being treated for the effects of alcoholism, has begun naltrexone therapy. When assessing this client's laboratory findings, the nurse should prioritize what diagnostic value?

liver function tests (LFTs)

A client arrives at the emergency department after abusing ketamine. What would the nurse expect to assess?

loss of sensation

A nurse is caring for a patient with cancer who has been prescribed dronabinol (Marinol) to help reduce nausea and vomiting from chemotherapy. The nurse will inform the patient that he or she is taking an oral form of

marijuana

Which of the following medication is a narcotic antagonist?

naloxone (narcan)

The nurse is providing care for a client physically dependent on an opioid. How is physical dependence best characterized?

physiologic adaptation that results in unpleasant symptoms when the drug is stopped

Paramedics have brought a client to the emergency department with a suspected heroin overdose. The nurse should recognize that the client's most acute threat to health at this time is:

respiratory depression.

When caring for a client with alcohol dependence who is prescribed a benzodiazepine, which side effects is it most important that the nurse monitor for?

sedation

The nurse caring for a client suspected of ketamine abuse should focus on what characteristic behavior?

sensory hallucinations