Question: Which medication is the nurse most likely to see prescribed as part of the treatment plan for both a patient in an alcoholism treatment program and a patient in a program for the treatment of opioid addiction?
Answer Choices: a. Methadone b. Bromocriptine c. Disulfiram d. Naltrexone
Answer: d. Naltrexone
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. State, “I see the need for ongoing treatment.”
Question: Which question has the highest priority when assessing a newly admitted patient with a history of alcohol abuse?
Answer Choices: a. “Have you ever had blackouts?” b. “When did you have your last drink?” c. “Has drinking caused you any problems?” d. “When did you decide to seek treatment?”
Answer: b. “When did you have your last drink?”
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. Chronic low self-esteem
Question: Which documentation indicates that the treatment plan for a patient in an alcohol treatment program was effective?
Answer Choices: a. Is abstinent for 10 days and states, “I can maintain sobriety one day at a time.” Spoke with employer, who is willing to allow the patient to return to work in 3 weeks. b. Is abstinent for 15 days and states, “My problems are under control.” Plans to seek a new job where coworkers will not know history. c. Attends AA daily; states many of the members are “real” alcoholics and says, “I may be able to help some of them find jobs at my company.” d. Is abstinent for 21 days and says, “I know I can’t handle more than one or two drinks in a social setting.”
Answer: a. Is abstinent for 10 days and states, “I can maintain sobriety one day at a time.” Spoke with employer, who is willing to allow the patient to return to work in 3 weeks.
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. Nosebleed, muscle wasting, and impaired hearing
Question: A patient undergoing alcohol rehabilitation decides to accept disulfiram therapy to avoid impulsively responding to drinking cues. Which information should be included in the discharge teaching for this patient? (Select all that apply.)
Answer Choices: a. Avoid aged cheeses. b. Read labels of all liquid medications. c. Wear sunscreen and avoid bright sunlight. d. Maintain an adequate dietary intake of sodium. e. Avoid breathing fumes of paints, stains, and stripping compounds. Correct Answers: b. Read labels of all liquid medications. e. Avoid breathing fumes of paints, stains, and stripping compounds.
Answer: Not provided in source.
Question: A nurse can assist a patient diagnosed with addiction and the patient’s family in which aspects of relapse prevention? (Select all that apply.)
Answer Choices: a. Rehearsing techniques to handle anticipated stressful situations b. Advising the patient to accept residential treatment if relapse occurs c. Assisting the patient to identify life skills needed for effective coping d. Isolating self from significant others and social situations until sobriety is established e. Teaching the patient about the physical changes to expect as the body adapts to functioning without substances Correct Answers: a. Rehearsing techniques to handle anticipated stressful situations c. Assisting the patient to identify life skills needed for effective coping e. Teaching the patient about the physical changes to expect as the body adapts to functioning without substances
Answer: Not provided in source.
Question: While caring for a patient with a methamphetamine overdose, which tasks are the priorities of care? (Select all that apply.)
Answer Choices: a. Administration of naloxone (Narcan) b. Vitamin B12 and folate supplements c. Administration of ammonium chloride d. Providing a safe environment e. Reduction of fever Correct Answers: d. Providing a safe environment e. Reduction of fever
Answer: Not provided in source.
Question: A patient comes to the clinic with superficial cuts on the left wrist. The patient paces around the room sobbing but cringes when approached and responds to questions with only shrugs or monosyllables. What is the nurse’s best initial statement to this patient?
Answer Choices: a. “Everything is going to be all right. You are here at the clinic, and the staff will keep you safe.” b. “I see you are feeling upset. I am going to stay and talk with you to help you feel better.” c. “You need to try to stop crying so we can talk about your problems.” d. “Let’s set some guidelines and goals for your visit here.”
Answer: b. “I see you are feeling upset. I am going to stay and talk with you to help you feel better.”
Question: While pacing around the room, the patient is asked, “What should the nurse ask to determine the patient’s perception of the precipitating event?”
Answer Choices: a. “Tell me why you were crying.” b. “How did your wrist get injured?” c. “How can I help you feel more comfortable?” d. “What was happening just before you started feeling this way?”
Answer: d. “What was happening just before you started feeling this way?”
Question: A patient comes to the crisis center saying, “I’m in a terrible situation. I don’t know what to do.” The triage nurse can initially assume that the patient is experiencing what?
Answer Choices: a. Suicidal ideations b. Anxiety and fear c. Misperceived reality d. Homicidal ideations
Answer: b. Anxiety and fear
Question: An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The patient told the parents about the uncle’s behavior, but the parents did not believe the adolescent. What type of crisis exists?
Answer Choices: a. Maturational b. Adventitious c. Situational d. Organic
Answer: b. Adventitious
Question: Which patient statement best suggests they have returned to a pre-crisis level of functioning?
Answer Choices: a. “My boss told me I am doing well and up for a promotion.” b. “I understand that bad things can happen to really good people.” c. “Going to my support group regularly has made a big difference.” d. “I’m much more comfortable asking for help than before my divorce.”
Answer: a. “My boss told me I am doing well and up for a promotion.”
Question: An adult seeks counseling after the spouse is murdered. The adult angrily says, “I hate the monster that did this. It has ruined my life. During the trial, I don’t know what I’ll do if the jury doesn’t return a guilty verdict.” What is the nurse’s highest priority question?
Answer Choices: a. “What do you mean when you say ‘monster’?” b. “What resources do you need to help you cope with this situation?” c. “Would you consider hurting yourself or the person on trial?” d. “Are you having thoughts of hurting yourself or others?”
Answer: d. “Are you having thoughts of hurting yourself or others?”
Question: A woman says, “I can’t take anymore! Last year my husband had an affair. Three months ago, I found a lump in my breast. Yesterday my daughter said she’s quitting college.” What type of crisis is this person experiencing?
Answer Choices: a. Maturational b. Adventitious c. Situational d. Recurring
Answer: c. Situational