Nutrition and Addiction EAQ questions
Which side effect would the nurse monitor for when administering a SSRI. SATA Anxiety Nausea Sedation Restlessness SI Increased energy level
ALL OF THEM not just some of them.
Which findings would the history likely reveal about a young client with AN? Ritualistic behaviors. Desire to improve self-image. Low achievement in school with little concern for grades. Satisfaction with and a desire to maintain current weight.
AN patients display ritualistic behaviors and desire to improve self-image, rigidity, and meticulousness, reflecting a need for control. These people have a disturbed body image and always see themselves as fat and needing further weight loss because they are trying to improve their self-image.
Which psychical or behavior signs of substance abuse would a nurse observe for in the teen population? SATA Worrying about being addicted. Showing high school performance. Experiencing an OD or WD. Worrying about another friend/family who is addicted. Manifesting bizarre behavior or confusion.
All except showing high performance and worrying about a friend or family. Think, person with substance abuse may think it's okay that others are using and not see it as a problem.
Which s/s would the nurse observe in clients with AN? Cache is Purging Diarrhea HTN Lanugo
Cachexia, lanugo and purging. The way clients can achieve anorexia is by not eating as well as purging after meals.
Which initial action would the nurse take for a young client with AN who phones home just before each mealtime and then refuses to eat food that has gotten cold? Revoke client's phone privileges. Schedule a family meeting to discuss the problem.
Discuss with family. By talking to the client on the phone, family is enabling the client to continue self-destructive behavior. Revoking phone privileges would be indicated if involving family does not help.
Which would the nurse see in someone experiencing hypokalemia? Thirst Anorexia Leg cramps Rapid, thready pulse Dry mucous membranes
GI manifestations are caused by decreased neuromuscular irritability of GI tract, so anorexia, nausea, vomiting, and decreased peristalsis. Hypokalemia affects the Na/K pump (neuromuscular functioning) so you will see leg cramps.
The client diagnosed with chronic alcoholism comes to the emergency department, reporting no alcoholic drinks and more than one week. Which intervention should the ED nurse implement first? Implement seizure precautions according to hospital. Rehydrate the client with large amounts of IV fluids.
Immediately, on arrival at a hospital, the client should be rehydrated with large amounts of IV physiological fluids. This is the first intervention. The nurse implement seizure precautions, but it is not the first intervention.
What factor is the most important in the rehab of a client addicted to alcohol? Motivational readiness. Level of clients physical state.
Intrinsic motivation is essential. When clients feel ready or that they've hit rock bottom, only then they are ready to face reality and forth the effort necessary for changes behavior.
Which response would the nurse make to a cocaine addict remanded for rehab by the court who curses at their spouse and tells the spouse to go home, causing the spouse to leave in tears? Youre angry rn. Let's talk about what just happened.
Lets talk about what just happened. Requesting that the client talk about what just transpired does not allow the client to escape responsibility for the behavior, a common theme of addicted people. The clients behavior, not feelings is the issue that must be addressed, so saying you are angry will not help.
Which reason would likely be the cause for a tall 15 y.o girl weighing 80lbs to be admitted to a mental health facility? A desire to control her life A delusion in which she believes that she must be thin.
Likely d/t a desire to control her life and because she has AN. Eating and weight loss become the means of control to decrease anxiety r/t distorted thinking.
Which rationale is the major reason that narcotics annon (NA) is helpful in treating addictive behaviors? More changes will take place within the group. Members are supportive of one another's problems. Members share common background and history. Problems are dealt with more effectively in group.
Members are usually supportive, share common goals, and opportunity to test out new patterns is available.
Which interventions are therapeutic for patients with AN? Precise meal times. Daily weights. Behavioral contracts. Observations before and after meals. Adherence to selected menu. Frequent interaction with healthy peers.
Must be highly structured so strict meal times, menus are set, behavior contracts to establish expectations and guidelines, observations before and after meals to discourage purging or discarding food. Interaction with peers is a privilege linked to following the treatment plan.
The client has taken alprazolam daily for the past two years. Which clinical manifestation would warn intervention by the nurse? Nausea, vomiting, and agitation. Ataxia, hyperpyrexia, and respiratory distress.
Nausea, vomiting, and agitation, along with tachycardia, diaphoresis, tremors, and marked insomnia, are adverse effects of CNS depressants, such as alprazolam/Xanax, a benzodiazepine.
Which statement is true in comparing AN with BN? Clients with An are at a greater risk for fluid imbalances. Clients with BN do recognize that their eating pattern is abnormal.
Patient with AN denies a problem. Patient with BN hides the behavior because eating patterns are recognized as problematic. Patients with BN are at greater risk of EL imbalance d/t purging.
Anorexia nervosa, restrictive type
Patients do not engage in binge-eating or purging behaviors (vomiting, laxatives, diuretics, enemas)
Which characteristics are observed in clients who have cocaine addiction? SATA Anxiety Palpitations Weight loss Sedentary habits Difficulties with speech
Precepitates anxiety, hypervigilance, euphoria, agitation, and anger. Loss of appetite and increased metabolic rate promotes weight loss, is a stimulant with cardiac effects such as tachyC and dysrhythmias. Sendatry is to barbituates Dysphagia is to alcohol or methadone
The client with the history of substance-abuse is brought to the ED by a friend. The client has a staggering gate and reports feeling short of breath. The client vital signs are 104 F, pulse 106, respirations, 24, and blood pressure 128/90. Which question should the nurse ask the client Friend? How many alcoholic drinks has your friend had? When was the last time your friend took amphetamines? Through which route and at what time did your friend take cocaine?
Respiratory distress, ataxia, hyper pyrexia, convulsions, coma, or stroke, or clinical manifestations of cocaine overdose. This question would be most appropriate for the nurse to ask based on the clients clinical manifestations.
Which action would the nurse take for an adolescent client with AN? Reward client by increasing privileges. Suggest family therapy to focus on client's behavior.
Reward. Behavior modification programs are helpful treatment modes. Although family therapy may be helpful, emphasis on the client's behavior is not the focus in family therapy and may reinforce ineffective coping. Also family therapy will not be the main priority until at least the client gains weight.
Which is the best response the nurse would make to a male client who is denying addiction to alcohol but says that his nagging wife is causing him to drink? I don't think your wife is the problem. Everyone is responsible for his own actions. Why do you think that your wife is the cause of your problems?
Saying everyone is responsible for their actions encourages the client to accept responsibility and does not support denial or rationalization as a defense mechanism. Saying the wife isn't the problem is closed communication, and in doing so, nurse cannot be effective in breaking thorugh denial.
What is the progression of AN?
Social attitudes and struggle for independence exert pressure. Dieting is an attempt to maintain control. Self-esteem increases as weight is lost. Secondary gains such as attention from parents and peers influence behaviors of AN. The client views self as being fat even if they are not.
Which info would the nurse include in parent teaching regarding length of treatment for a teen with AN? Treatment takes a long time and includes frequent set-backs. The duration of treatment depends on your willingness to become involved in your child's therapy.
Therapy entails major changes in self-esteem and body imagine, which require a long-time and can consist of setbacks. Most will not respond favorably to treatment in just a few weeks. Willingness of parents to participate is not true because thats only one factor, the client must be willing to work with family.
Which pharmacologic intervention should the nurse discuss with the client requesting help to quit smoking marijuana? Encourage the client to have the HCP prescribe an anti-anxiety medication. Explain that there is no specific pharmacologic intervention.
Weed used disorder is similar to other substance abuse disorders, but the FDA currently approves and no medication for treatment. Behavioral therapy can be helpful. Treatment to stop smoking weed.
