Answer Choices:
A. Within 8 hours, vital signs will stabilize as evidenced by BP greater than 90/60 mm Hg, P less than 100 bpm, and respirations at or above 12 breaths per minute.
B. The patient will be able to describe his or her codependency and drug source before being released from the emergency department.
C. The patient will attend daily meetings of Narcotics Anonymous within 1 week of discharge.
D. State will grant relief from costs of narcotics abuse by discharge.
Answer:
A
Question: A patient presents with a substance use disorder and a psychiatric disorder simultaneously. What is the recommended approach to treatment?
Answer Choices:
A. Dual diagnosis settings suggest that the substance disorder should both be considered primary and receive simultaneous treatments.
B. The person will benefit from treatment in a residential setting first.
C. Withdraw the person from cannabis, and then treat the schizophrenia.
D. Treat the schizophrenia first, and then establish the goals for the treatment of substance abuse.
Answer:
A
Question: Which statement most accurately describes substance addiction?
Answer Choices:
A. A chronic, relapsing brain disease associated with craving and a lack of control over use of a substance.
B. A disorder associated with tolerance to a substance as well as withdrawal symptoms if use is abruptly discontinued.
C. Behaviors associated with habitual use of a substance for the single purpose of altering one’s mood, emotion, or state of consciousness.
D. A behavioral disorder associated with selected personality features.
Answer:
A
Question: A patient admitted yesterday for injuries sustained while intoxicated believes the window blinds are snakes trying to get into the room. The patient is anxious, agitated, and diaphoretic. Which medication can the nurse anticipate the health care provider will prescribe?
Answer Choices:
A. Monoamine oxidase inhibitor, such as phenelzine
B. Phenothiazine, such as thioridazine
C. Benzodiazepine, such as lorazepam
D. Narcotic analgesic, such as morphine
Answer:
C
Question: When working with a patient beginning treatment for alcohol abuse, what is the nurse’s most therapeutic approach?
Answer Choices:
A. Empathetic, supportive
B. Strong, confrontational
C. Skeptical, guarded
D. Cool, distant
Answer:
A
Question: A patient comes to an outpatient appointment obviously intoxicated. The nurse should implement what intervention?
Answer Choices:
A. Exploring the patient’s reasons for drinking today
B. Arranging admission to an inpatient psychiatric unit
C. Coordinating emergency admission to a detoxification unit
D. Telling the patient, “We cannot see you today because you’ve been drinking”
Answer:
D
Question: Select the most appropriate outcome for a patient completing the fourth alcohol detoxification program in 1 year. Before discharge, what will the patient do?
Answer Choices:
A. Use rationalization in healthy ways.
B. State, “I see the need for ongoing treatment.”
C. Identify constructive outlets for expression of anger.
D. Develop a trusting relationship with one staff member.
Answer:
B
Question: A patient asks for information about the goals of Alcoholics Anonymous (AA). Which is the nurse’s best response?
Answer Choices:
A. “It is a self-help group with the goal of sobriety.”
B. “It is a form of group therapy led by a psychiatrist.”
C. “It is a group that learns about drinking from a group leader.”
D. “It is a network that advocates strong punishment for drunk drivers.”
Answer:
A
Question: A new patient in an alcoholism rehabilitation program says, “I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and a few drinks in the evening.” Which response by the nurse will help the patient view the drinking more honestly?
Answer Choices:
A. “I see,” and use interested silence.
B. “I think you may be drinking more than you report.”
C. “Being a social drinker involves having a drink or two once or twice a week.”
D. “You describe drinking steadily throughout the day and evening. Am I correct?”
Answer:
D
Question: A patient in an alcohol treatment program says, “I have been a loser all my life. I’m so ashamed of what I have put my family through. Now, I’m not even sure I can succeed at staying sober.” Which nursing diagnosis applies?
Answer Choices:
A. Chronic low self-esteem
B. Situational low self-esteem
C. Disturbed personal identity
D. Ineffective health maintenance
Answer:
A
Question: Which assessment findings support a nurse’s suspicion that a patient has been using inhalants?
Answer Choices:
A. Pinpoint pupils and respiratory rate of 12 breaths per minute
B. Perforated nasal septum and hypertension
C. Drowsiness, euphoria, and constipation
D. Nosebleed, muscle wasting, and impaired hearing
Answer:
D
Question: Select the nursing intervention necessary after administering naloxone to a patient experiencing an opiate overdose.
Answer Choices:
A. Monitor the airway and vital signs every 15 minutes.
B. Insert a nasogastric tube and test gastric pH.
C. Treat hyperpyrexia with cooling measures.
D. Insert an indwelling urinary catheter.
Answer:
A
Question: A patient admitted to an alcoholism rehabilitation program says, “I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and several drinks during the evening.” The patient is using which defense mechanism?
Answer Choices:
A. Rationalization
B. Introjection
C. Projection
D. Denial
Answer:
D
Question: Which assessment findings best correlate to the withdrawal from central nervous system depressants?
Answer Choices:
A. Dilated pupils, tachycardia, elevated blood pressure, elation
B. Labile mood, lack of coordination, elevation, fever, drowsiness
C. Nausea, vomiting, diaphoresis, anxiety, tremors
D. Excessive eating, constipation, headache
Answer:
C