Answer Choices:
A. The patient verbalizes insight into the reasons for alcohol dependency.
B. The patient maintains abstinence from alcohol for a 1-year period.
C. The patient regularly attends AA meetings.
D. The patient demonstrates improved family relationships.
Answer:
B
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
Answer:
A, C, E
Question: A patient is admitted in a comatose state after ingesting five capsules of lorazepam. A friend of the patient says, “Often my friend drinks, along with taking more drugs than is prescribed.” What is the effect of the use of alcohol with the lorazepam?
Answer Choices:
A. The drug’s metabolism is stimulated.
B. The drug’s effect is diminished.
C. A synergistic effect occurs.
D. There is no effect.
Answer:
C
Question: During the third week of treatment, the spouse of a patient in an alcoholism rehabilitation program says, “After discharge, I think everything will be just fine.” Which remark by the nurse will be most helpful to the spouse?
Answer Choices:
A. “It is good that you’re supportive of your spouse’s sobriety and want to help maintain it.”
B. “Although sobriety solves some problems, new ones may emerge as one adjusts to living without alcohol.”
C. “It will be important for you to structure life to avoid as much stress as possible.”
D. “Remember that alcoholism is a disorder of self-destruction. You will need to observe your spouse’s behavior carefully.”
Answer:
B
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 supplementation
C. Prevention of muscle spasms
D. Restoring nutritional reserves
E. Reduction of fever
Answer:
D, E
Question: In what significant ways is the therapeutic environment different for a patient who has ingested lysergic acid diethylamide (LSD) than for a patient who has ingested phencyclidine (PCP)?
Answer Choices:
A. For LSD ingestion, one person stays with the patient and provides verbal support. For PCP ingestion, a regimen of limited contact with staff members is maintained, and continual visual monitoring is provided.
B. For PCP ingestion, the patient is placed on one-on-one intensive supervision. For LSD ingestion, a regimen of limited interaction and minimal verbal stimulation is maintained.
C. For LSD ingestion, continual moderate sensory stimulation is provided. For PCP ingestion, continual high-level stimulation is provided.
D. For LSD ingestion, the patient is placed in restraints. For PCP ingestion, seizure precautions are implemented.
Answer:
A
Question: Which is an important nursing intervention when giving care to an outpatient withdrawing from central nervous system (CNS) stimulants?
Answer Choices:
A. Monitor vital signs for hypertension and hyperthermia.
B. Avoid manipulation by denying the patient’s requests.
C. Observe for depression and suicidal ideation.
D. Do not touch the patient too much.
Answer:
C
Question: Which treatment approach is most appropriate for a patient with poor social skills who has been treated several times for substance addiction but has relapsed?
Answer Choices:
A. 1-week detoxification program
B. Long-term outpatient therapy
C. 12-step self-help program
D. Residential program
Answer:
D
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
Question: A patient was admitted 1 day ago with a hip fracture sustained in a fall while intoxicated. The patient points to the Buck’s traction and screams, “Somebody tied me up with ropes.” The patient’s response is described by what term?
Answer Choices:
A. An illusion
B. A delusion
C. Hallucinations
D. Hypnagogic phenomenon
Answer:
A