NURS380 ATI ADDICTION STUDY GUIDE

A nurse is teaching a newly admitted client about the possible effects of alcohol withdrawal. Which of the following manifestations should the nurse include in the teaching? (SATA) a. Seizures b. Illusions c. Tremors d. Polyphagia (increased appetite) e. Nystagmus (involuntary movement of eyes)

a, b, c

A nurse id discussing the manifestations of alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates understanding? a. "I should expect tremors to start less than 24 hours after I stop drinking." b. "Disulfiram will block my cravings for alcohol." c. "My symptoms should last about 5 to 7 days once they begin." d. "It is important that I take vitamin C to prevent cirrhosis or other liver damage."

a. "I should expect tremors to start less than 24 hours after I stop drinking." **Signs of withdrawal might develop within a few hours of the client's last drink of alcohol.

A nurse is providing teaching to a client about smoking cessation. Which of the following client statements indicates a need for further education? a. "I will test my ability to quit smoking by going to the bar where I used to smoke." b. "I will distract myself by working on my woodworking hobby." c. "I will call someone I know who has quit if I develop the urge to have a cigarette." d. "I will keep a journal to understand what is triggering the urge to smoke."

a. "I will test my ability to quit smoking by going to the bar where I used to smoke." **The client who returns to areas where the desire to smoke is the greatest is more likely to relapse and should need further education.

AA mental health nurse us referring a client who has an alcohol addiction to a 12-step alcoholics anonymous program. The nurse should inform the client that which of the following is the basic concept of a 12-step program? a. Admit life is unmanageable. b. Detoxifying from the addictive substance. c. Identifying stimuli that promote drinking. d. Including family in counseling sessions.

a. Admit life is unmanageable. **The first basic concept of a 12-step program is to be powerless over one's addiction and to admit one's life is unmanageable.

A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis? a. Alcohol b. Caffeine c. Cocaine d. Inhalants

a. Alcohol **Chronic alcohol use disorder is one of the primary causes of cirrhosis of the liver.

A nurse is caring for a client who has a depressive disorder, is in alcohol withdrawal, and reports a recent job loss. Which of the following should be the priority nursing intervention? a. Determine the presence and degree of suicidal risk. b. Assist the client to identify negative effects of chemical dependency. c. Identify support groups in the community for long-term treatment. d. Refer the client to a mental health care provider for evaluation and treatment.

a. Determine the presence and degree of suicidal risk. **The nurse initially should establish the presence of suicide ideation when caring for a client who has a history of a depressive disorder, alcohol withdrawal, and recent job loss. Risk of suicide is increased in clients who have a history of depression and substance use. This is a safety issue and must be addressed immediately.

A nurse suspects that a coworker is diverting opioid analgesics. Which of the following is an adverse effect of opioid medications? a. Euphoria b. Rhinorrhea c. Hallucinations d. Dilated pupils

a. Euphoria **Euphoria is an adverse effect of opioid analgesics and is due to activation of mu receptors.

A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect? a. Hand tremors b. Stuporous level of consciousness c. Bradycardia d. Hypotension

a. Hand tremors **Course tremors of the hands is an expected finding of alcohol withdrawal.

A nurse is caring for a client who is withdrawing from opioids. Which of the following meds should the nurse prepare to administer? a. Methadone b. Disulfiram c. Risperidone d. Lithium carbonate

a. Methadone **Methadone is a synthetic opiate that blocks the craving for and the effects of narcotics. It is widely used to assist with detoxification and maintenance of those who have a dependency to opioids. Methadone reduces withdrawal symptoms, but it does not cause a high. The medication must be taken every day. The client requires close monitoring because methadone is highly addictive. Methadone is approved for the treatment of women who are pregnant and addicted to opioids.

A nurse is assessing a client who is experiencing acute cocaine toxicity. Which of the following findings should the nurse expect? a. Tremors b. Hypothermia c. Hypotension d. Respiratory depression

a. Tremors **Manifestations of acute cocaine toxicity include tremors, agitation, and seizures.

A charge nurse is preparing an educational session about addictive disorders for nursing staff. Which of the following should the nurse include as an etiological factor of addictive disorders? (SATA) a. Being female b. Low self-esteem c. Family history of addiction d. Personality disorders e. Asian ethnicity

b, c, d

A nurse is caring for a client in the emergency dept who, 2 hr earlier, severed the tip of a finger in an accident. During the assessment, the nurse detects a strong smell of alcohol from the client's breath. For which of the following findings should the nurse assess first? a. Client's history of previous accidents b. Date of the client's last tetanus immunization c. Client's blood alcohol level d. Signs of wound infection

b. Date of the client's last tetanus immunization **The greatest risk to this client is injury from infection with Clostridium tetani; therefore, the priority assessment the nurse should perform is to determine whether the client will require a tetanus immunization by identifying the date the client last received one. An adult should have a tetanus booster immunization every 10 years and after any severe or dirty wound.

A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect? a. Nystagmus b. Dilated pupils c. Hypersomnia d. Depression

b. Dilated pupils **Dilated pupils are a finding of cocaine intoxication due to the stimulation of the sympathetic nervous system

A nurse in a drug and alcohol detoxification center is planning care for a client who has alcohol use disorder. Which of the following interventions should the nurse identify as the priority? a. Helping the client identify positive personality traits b. Providing for adequate hydration and rest c. Confronting the use of denial and other defense mechanisms d. Educating the client about the consequences of alcohol misuse

b. Providing for adequate hydration and rest **Providing for the client's physical needs should be the nurse's priority until the client completes the detoxification phase of treatment. Rest is important for two reasons: alcohol use disrupts normal sleep patterns, and alcohol withdrawal or detoxification is often associated with increased restlessness and agitation. Restoring and maintaining fluid and electrolyte balance is another important goal during detoxification to prevent fluid and electrolyte imbalances.

A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse include in the discussion as health risk of heroin use? a. Acute pancreatitis b. Slowed breathing c. Nasal septum perforation d. Permanent short-term memory loss

b. Slowed breathing **Slowed or arrested breathing is just one of the many physical complications related to heroin use. Others include drowsiness, impaired coordination, nausea, and sedation.

A nurse is caring for a client who has a history of alcohol use disorder and has been hospitalized for detoxification. The nurse enters the room and finds the client shouting in a terrified voice, "get these bugs off me!" Which of the following responses by the nurse is appropriate?" a. "I'm sure that the bugs you see will not harm you." b. "Tell me more about the bugs that you see in your room." c. "I don't see any bugs, but you seem very frightened." d. "I do not see anything. This is part of the withdrawal process."

c. "I don't see any bugs, but you seem very frightened." **This client is experiencing a tactile hallucination, which is common during alcohol withdrawal. This response by the nurse presents reality and shows empathy by acknowledging the client's feelings.

A nurse is reinforcing teaching about alcohol tolerance with a newly admitted client. Which of the following statements by the client indicates understanding? a. "Alcohol tolerance produces physical changes when I haven't recently ingested alcohol." b. "Alcohol tolerance causes me to have an increased effect when taking opiates." c. "I will develop a decreased physical response to alcohol." d. "Alcohol tolerance is a medical emergency and can develop as a result of withdrawal."

c. "I will develop a decreased physical response to alcohol." **A client can develop alcohol tolerance due to repeated exposure to the substance and can have a decreased physical response.

A nurse is caring for a client whose partner asks to speak with the nurse. The partner relates her concerns about her spouse abusing alcohol and having difficulty maintaining employment. Which of the following responses should the nurse make? a. "Could you try contacting a support group?" b. "I'm so sorry to hear about this." c. "I suggest you talk with a mental health counselor about your concerns." d. "What have you done in the past to cope with this issue?"

d. "What have you done in the past to cope with this issue?" **This asks a relevant question and is therapeutic; it moves the discussion from a general direction to a specific focus on the partner's concerns and is open-ended.

A nurse in the emergency department is planning care for a client who is admitted for an overdose of phencyclidine (PCP). Which of the following actions should the nurse plan to take? a. Administer warmed IV fluids to counteract hypothermia. b. Reverse the toxicity with naloxone. c. Verbally attempt to calm the client. d. Administer ammonium chloride.

d. Administer ammonium chloride. **Ammonium chloride acidifies the urine and promotes excretion of PCP. In addition, the nurse should monitor the client's respiratory status and be prepared to assist with intubation and mechanical ventilation.

A nurse in rehabilitation center is planning care for a newly admitted client who has a history of alcohol use disorder. Which of the following client goals is the highest priority? a. The client will acknowledge alcohol dependence and need for treatment. b. The client will rebuild damaged interpersonal relationships. c. The client will implement alternative strategies for managing anxiety. d. The client's withdrawal from alcohol will be managed without complications.

d. The client's withdrawal from alcohol will be managed without complications. **The greatest risk to the client is injury and adverse effects of withdrawal; therefore, this goal is the highest priority.