Sbustance Use disorders

Which serious effect of inhalant use would the school nurse include in a teaching session to a high school health class about inhalant abuse?

Death

While assessing an older adult client before noon, the nurse smells alcohol on the client's breath. Which additional signs and symptoms would the nurse then monitor for? Select all that apply. One, some, or all responses may be correct.

Irritability Poor hygiene Family conflict Excessive mood swings

Which common clinical manifestation is expected during the initial stage of alcohol detoxification?

Nausea

Which approach to a staff nurse's drug abuse problem would be taken as an initial intervention?

Referred to the employee assistance program

Which type of group is Alcoholics Anonymous (AA)?

Self-help group

Which rationale would explain the reason a client abuses alcohol?

To blunt reality

Which response would the nurse make to the wife of a client with alcohol use disorder who says, "When the drinking starts it really disrupts my family, and I'm not sure how to handle it"?

"Attend Al-Anon meetings and avoid assuming responsibility for your husband's behavior."

Which is the best response the nurse would make to a male client who is denying addiction to alcohol but says that it is his nagging wife causing him to drink?

"Everyone is responsible for his own actions."

Which of these questions is included on the CAGE screening test for alcoholism?

"Have you ever felt bad or guilty about your drinking?"

Which response would the nurse make to a client who says, "I like the high I get when I huff paint. Nothing bad is going to happen to me"?

"Huffing paint can damage your lungs, kidneys, and liver."

A client on the detoxification unit asks for permission to skip the Alcoholics Anonymous (AA) meeting held each day. Which response would the nurse use?

"What are your feelings about going to AA meetings?"

Which initial statement would the nurse use when a client with a history of alcoholism returns to a previously attended residential alcohol treatment program?

"You've made progress; let's focus on strategies to prevent a relapse."

Which strategy would be effective for a client with alcohol use disorder who says, "Drinking is a way out of my depression"?

A self-help group

For a client who is in an alcohol detoxification program, which nursing action is the most important?

Accept the client as a worthwhile person.

Which behavior is expected of members of Alcoholics Anonymous (AA)?

Acknowledging an inability to control the drinking

For Alcoholics Anonymous, which goal is the priority?

Acknowledging and changing destructive behavior

Which strategy would the nurse recommend that is most effective for a client who has decided to stay sober after completing alcohol detoxification and rehabilitation treatment?

Active membership in Alcoholics Anonymous

When working with a client who is in an alcohol detoxification program, which nursing action would be important?

Address the client's needs holistically.

Which nursing action would be appropriate when the client with alcohol withdrawal delirium begins experiencing hallucinations?

Administering the prescribed medication to the client to subdue the agitated behavior

Within a few hours of alcohol withdrawal, the nurse would assess the client for the presence of which clinical manifestations? Select all that apply. One, some, or all responses may be correct.

Agitation Tremulousness

The CAGE questionnaire is used to screen the client's use of which substance?

Alcohol

For a person who has an alcohol abuse problem, which rationale supports family involvement in the treatment program?

Alcoholism involves the entire family and affects all members.

Which action would the nurse take to instill in clients with alcohol use disorder an ability to maintain sobriety?

Assist them in adopting more healthful coping patterns.

Which behavior indicates codependence for the wife of a husband who abuses multiple drugs?

Attempts to cover up the husband's drug use

Which behavior best indicates that the client has accepted that her or his drinking is a problem?

Attends Alcoholics Anonymous (AA) meetings daily

When planning for a client's care during the detoxification phase of early alcohol withdrawal, which action would the nurse take?

Check on the client frequently.

For clients with chronic alcoholism, which communication pattern suggests marked memory loss?

Confabulation

Which mental mechanism would the nurse suspect when a client with alcohol use disorder who has not worked for the past 10 years states, "I currently work in the office of a local construction company"?

Confabulation

A client with the dual diagnosis of major depression and polysubstance abuse says, "The things they talk about in group don't really pertain to me." Which response is the most therapeutic?

Confront the client with realistic feedback.

An individual is found unconscious and is admitted to the hospital with heroin overdose. Which nursing action is the priority?

Establishing a patent airway

Which action would the nurse take first when a client asks for help with a drinking problem?

Have the client call Alcoholics Anonymous to find the schedule of local meetings.

For clients who are about to enter a detoxification program for alcohol abuse, which nursing action will help them increase responsibility for self-control?

Help them adopt more healthful coping patterns.

Which substance produces sneezing, yawning, and tearing of the eyes as withdrawal occurs?

Heroin

CAGE screening test for alcholism contains four questions...

How you ever felt you ought to Cut down on your drinking? Have people Annoyed you by criticizing your drinking? Have you ever felt bad or Guilty about your drinking? Have you ever had a drink first thing in the morning (as an " Eye-opener") to steady your nerves or get rid of a hangover?

Which information would the nurse include in client education regarding alcoholic blackouts?

It is an absence of memory in relation to drinking episodes.

For clients who are addicted to alcohol, which rationale explains why denial is a primary defense mechanism?

It reduces feelings of guilt.

Which withdrawal signs and symptoms would the nurse assess for in a recently hospitalized client with an opioid use disorder?

Lacrimation Yawning Muscle aches

Which food choices would indicate the client with alcohol use disorder understands the teaching about foods high in thiamine?

Lean beef, organ meat, and nuts

Alcoholics Anonymous (AA) is a successful self-help group because it fulfills which basic human need?

Members experience acceptance.

Which clinical manifestations would the nurse observe in a client with opioid withdrawal? Select all that apply. One, some, or all responses may be correct.

Muscle twitching Runny nose Tachycardia Flulike symptoms

Which best approach would the nursing staff use to handle a nurse's return after completing a drug rehabilitation program?

Offering the nurse support in a straightforward manner

hich rationale best explains how an addiction to alcohol occurs?

Person eventually requires alcohol for functioning

After completing an alcohol detoxification program, which goal is the primary objective of rehabilitation?

Restructuring lifestyle to exclude alcohol

Which nursing action would be the primary consideration when caring for a client with a substance use disorder?

Setting firm, consistent limits and not varying from them

For a postsurgical client, which data suggest acute alcohol withdrawal?

Tremors in both hands make it difficult for the client to hold a cup. The client's bed linens and pajamas had to be changed during the night because of diaphoresis. The client who has been cooperative becomes verbally abusive and irritable.

Which initial outcome criterion would be appropriate for a client who is a polysubstance abuser and is mandated to seek drug and alcohol counseling?

Verbalizes that a substance abuse problem exists

Which behavior would indicate that a client with a long history of alcohol use disorder is ready for treatment?

Verbalizing an honest desire for help

Which condition would the nurse monitor for in a client with a history of heavy drinking who, on the day after admission, is confused, disoriented, and delusional?

Withdrawal syndrome