Question 1

Which of the following nursing statements exemplifies important insights to promote effective intervention with clients diagnosed with Substance Use Disorders? Select all that apply.
A)"I am easily manipulated and need to work on this prior to caring for these clients."
B)"Because of my father's alcoholism,I need to examine my attitude toward these clients."
C)"Drinking is legal,so the diagnosis of substance use disorder is an infringement on client rights."
D)"Opiate addicts are typically uneducated,unrefined individuals who will need a lot of education and social skills training."
E)"I can fix clients diagnosed with substance use disorders as long as I truly care about them."

Accepted Answer

The answer of Which of the following nursing statements exemplifies...

Question 2

Which is the priority nursing intervention for a client admitted for acute alcohol intoxication?
A)Darken the room to reduce stimuli to prevent seizures.
B)Assess aggressive behaviors to prevent injury to self or others.
C)Administer lorazepam (Ativan)to reduce the rebound effects on the CNS.
D)Teach the negative effects of alcohol on the body.

Accepted Answer

The priority nursing intervention for a client admitted for acute alcohol intoxication is to assess aggressive behaviors to prevent injury to self or others. The client may be experiencing confusion, agitation, and unpredictable behavior, which can result in harm to themselves or those around them. Therefore, it is essential to closely monitor the client's behavior and provide interventions to ensure their safety.

Question 3

The nurse believes that a client being admitted for a surgical procedure may have a drinking problem.How should the nurse further evaluate this possibility?
A)By asking directly if the client has ever had a problem with alcohol
B)By holistically assessing the client,using the Clinical Institute Withdrawal Assessment scale
C)By using a screening tool such as the CAGE questionnaire
D)By referring the client for physician evaluation

Accepted Answer

Using a screening tool such as the CAGE questionnaire is a quick and effective way to assess if a client has a potential drinking problem. This tool consists of four questions that assess personal concerns and behavior related to alcohol use. It can be a helpful starting point to determine if further evaluation or referral is needed.

Question 4

A recovering alcoholic relapses and drinks a glass of wine.The client presents in the ED experiencing severe throbbing headache,tachycardia,flushed face,dyspnea,and continuous vomiting.The nurse recognizes that the client's symptoms indicate which of the following?
A)Alcohol poisoning
B)Cardiovascular accident (CVA)
C)A reaction to disulfiram (Antabuse)
D)A reaction to tannins in the red wine

Accepted Answer

The client's symptoms indicate a possible reaction to disulfiram, also known as Antabuse, which is a medication commonly used in the treatment of alcoholism. Disulfiram works by causing unpleasant symptoms when alcohol is consumed, including headache, flushing, tachycardia, dyspnea, and vomiting. It is designed to discourage alcohol use by making the experience highly unpleasant. In this case, the client's relapse and subsequent consumption of wine likely triggered a reaction to the disulfiram medication.

Question 5

A client is asking the nurse about a newly prescribed medication,acamprosate calcium (Campral).Which is the nurse's best reply?
A)"This medication will help you maintain your abstinence."
B)"This medication will cause uncomfortable symptoms if you combine it with alcohol."
C)"This medication will decrease the effect alcohol has on your body."
D)"This medication will lower your risk of experiencing a complicated withdrawal."

Accepted Answer

Acamprosate calcium (Campral) is a medication used to help maintain abstinence from alcohol by reducing cravings and decreasing the unpleasant symptoms that may occur during alcohol withdrawal. Option A is the best response as it accurately describes the medication's main purpose. While options B, C, and D may also have some truth to them, they do not fully capture the intended use of the medication.

Question 6

Which of the following are symptoms of inhalant intoxication? Select all that apply.
A)Bradycardia
B)Euphoria
C)Hyperactive reflexes
D)Ataxia
E)Nystagmus

Accepted Answer

Inhalant intoxication can cause euphoria, ataxia (loss of muscle control), and nystagmus (rapid and uncontrollable eye movements). Bradycardia (slow heart rate) and hyperactive reflexes are not commonly associated with inhalant intoxication.

Question 7

A nurse receiving counseling for codependency is in the recovery process.Which are associated with codependent behaviors among nurses? Select all that apply.
A)Overspending
B)Social isolation
C)Perfectionism
D)Personal identity
E)Denial

Accepted Answer

The answer of A nurse receiving counseling for codependency is...

Question 8

A nursing instructor is teaching students about cirrhosis of the liver.Which of the following student statements about the complications of hepatic encephalopathy indicate further student teaching is needed? Select all that apply.
A)"A diet rich in protein will promote hepatic healing."
B)"This condition leads to a rise in serum ammonia,resulting in impaired mental functioning."
C)"In this condition,blood accumulates in the abdominal cavity."
D)"Neomycin and lactulose are used in the treatment of this condition."
E)"This condition is caused by the inability of the liver to convert ammonia to urea."

Accepted Answer

- A) A diet rich in protein can actually exacerbate hepatic encephalopathy because the metabolism of protein produces ammonia, which the damaged liver cannot effectively convert to urea, leading to increased blood ammonia levels and worsening encephalopathy.- C) Blood accumulating in the abdominal cavity describes ascites, not directly hepatic encephalopathy. Ascites is a complication of cirrhosis but is not the same as hepatic encephalopathy, which primarily affects the brain due to increased ammonia levels.

Question 9

When assessing a client with polysubstance abuse,the nurse recognizes withdrawal from which substance may require a life-saving emergency intervention?
A)Dextroamphetamine (Dexedrine)
B)Diazepam (Valium)
C)Morphine (Astramorph)
D)Phencyclidine (PCP)

Accepted Answer

Withdrawal from benzodiazepines, such as Diazepam (Valium), can be life-threatening due to the risk of severe symptoms such as seizures, delirium, and autonomic instability. This necessitates careful medical supervision and sometimes emergency intervention to manage these potentially dangerous withdrawal effects.

Question 10

A client is admitted for alcohol detoxification.During detoxification,which symptoms should the nurse expect to assess?
A)Gross tremors,delirium,hyperactivity,and hypertension
B)Disorientation,peripheral neuropathy,and hypotension
C)Oculogyric crisis,amnesia,ataxia,and hypertension
D)Hallucinations,fine tremors,confabulation,and orthostatic hypotension

Accepted Answer

During alcohol detoxification, the body reacts to the absence of alcohol with symptoms that can include gross tremors, delirium, hyperactivity, and hypertension. These symptoms are part of the alcohol withdrawal syndrome, which can range from mild to severe.

Question 11

The nurse in the ED assesses a 17-year-old client exhibiting symptoms of opiate intoxication.Which should be the nurse's first action?
A)Contact the parents.
B)Administer oxygen.
C)Open the crash cart.
D)Administer naloxone (Narcan).

Accepted Answer

Administering naloxone (Narcan) is the first action for opiate intoxication as it is an antidote that can reverse the effects of opiates on the body. Contacting the parents or opening the crash cart may be necessary but not the first action to take. Administering oxygen may also be necessary, but not until after administering naloxone.

Question 12

Students in a community health nursing class recently attended a lecture regarding tobacco use.Which student statement reflects the lecturer's teaching was effective?
A)"The percentage of men who smoke is higher than that of women and adolescents."
B)"Nicotine is the most widely used substance in the United States."
C)"Clients with severe mental illness have higher rates of smoking than those without."
D)"Smoking increases the risk of infant death due to cardiac defects."

Accepted Answer

Clients with severe mental illness have higher rates of smoking than those without.

Question 13

The triage nurse notes a client with a history of alcohol use disorder has an elevated heart rate,palpitations,shortness of breath,and a dry cough.Which best explains the client's symptoms?
A)Alcoholic myopathy
B)Alcoholic cardiomyopathy
C)Esophagitis
D)Portal hypertension

Accepted Answer

The elevated heart rate, palpitations, shortness of breath, and dry cough are all symptoms of alcoholic cardiomyopathy, which is a type of heart disease caused by long-term heavy alcohol consumption.

Question 14

A client diagnosed with Alcohol Use Disorder joins a community 12-step program and states,"My life is unmanageable." Which of the following indicates the nurse's interpretation of the client's statement?
A)The client is using minimization as an ego defense.
B)The client is ready to sign an AA contract for sobriety.
C)The client has accomplished the first of 12 steps advocated by AA.
D)The client has met the requirements to be designated as an AA sponsor.

Accepted Answer

The statement "My life is unmanageable" is the first step in the 12-step program advocated by AA, which involves admitting powerlessness over alcohol and recognizing that one's life has become unmanageable as a result of alcohol use. This indicates that the client has accomplished the first step in the program. Option A is incorrect because the client is not using minimization as an ego defense. Option B is incorrect because there is no mention of an AA contract for sobriety. Option D is incorrect because being designated as an AA sponsor requires meeting additional criteria beyond completing the first step.

Question 15

The nurse is caring for a client who has been prescribed disulfiram (Antabuse)as a deterrent to alcohol relapse.Which information should the nurse include when teaching the client about this medication?
A)"Only oral ingestion of alcohol will cause a reaction when taking this drug."
B)"It is safe to drink beverages that have only 12 percent alcohol content."
C)"This medication will decrease your cravings for alcohol."
D)"Reactions to combining Antabuse with alcohol can occur for as long as 2 weeks after stopping the drug."

Accepted Answer

Disulfiram (Antabuse) works by causing unpleasant effects (such as nausea, vomiting, and palpitations) when alcohol is consumed, which helps deter individuals from drinking. These effects can indeed occur for up to 2 weeks after stopping the medication, making it crucial for individuals to avoid alcohol during this period. The other options are incorrect: Disulfiram reacts with any amount of alcohol, not just oral ingestion or beverages with a certain alcohol content, and it does not directly decrease cravings for alcohol.

Quiz 23: Substance-Related and Addictive Disorders

Which of the following nursing statements exemplifies important insights to promote effective intervention with clients diagnosed with Substance Use Disorders? Select all that apply.

Which is the priority nursing intervention for a client admitted for acute alcohol intoxication?

The nurse believes that a client being admitted for a surgical procedure may have a drinking problem.How should the nurse further evaluate this possibility?

A recovering alcoholic relapses and drinks a glass of wine.The client presents in the ED experiencing severe throbbing headache,tachycardia,flushed face,dyspnea,and continuous vomiting.The nurse recognizes that the client's symptoms indicate which of the following?

A client is asking the nurse about a newly prescribed medication,acamprosate calcium (Campral) .Which is the nurse's best reply?

Which of the following are symptoms of inhalant intoxication? Select all that apply.

A nurse receiving counseling for codependency is in the recovery process.Which are associated with codependent behaviors among nurses? Select all that apply.

A nursing instructor is teaching students about cirrhosis of the liver.Which of the following student statements about the complications of hepatic encephalopathy indicate further student teaching is needed? Select all that apply.

When assessing a client with polysubstance abuse,the nurse recognizes withdrawal from which substance may require a life-saving emergency intervention?

A client is admitted for alcohol detoxification.During detoxification,which symptoms should the nurse expect to assess?

The nurse in the ED assesses a 17-year-old client exhibiting symptoms of opiate intoxication.Which should be the nurse's first action?

Students in a community health nursing class recently attended a lecture regarding tobacco use.Which student statement reflects the lecturer's teaching was effective?

The triage nurse notes a client with a history of alcohol use disorder has an elevated heart rate,palpitations,shortness of breath,and a dry cough.Which best explains the client's symptoms?

A client diagnosed with Alcohol Use Disorder joins a community 12-step program and states,"My life is unmanageable." Which of the following indicates the nurse's interpretation of the client's statement?

The nurse is caring for a client who has been prescribed disulfiram (Antabuse) as a deterrent to alcohol relapse.Which information should the nurse include when teaching the client about this medication?