Exam 20: Substance-Related and Addictive Disorders

The nurse is working at an outpatient substance abuse treatment facility that specializes in the administration of methadone. The nurse is giving a patient education session. What will the nurse explain is the goal of methadone treatment?

The nurse is caring for a patient with a substance use disorder who is addicted to heroin. The nurse understands that areas of the brain and nervous system have been connected to substance abuse and addiction. What is true regarding the nervous system and substance abuse and addiction? Select all that apply.

The nurse is caring for a patient with a substance use disorder who is admitted to the rehabilitation unit of the inpatient treatment facility. The nurse collaborates with the patient to establish and redefine mutual goals of treatment. What is the primary purpose of this action?

The nurse is caring for a patient who requires an opiate medication for chronic pain associated with a previous injury. The patient tells the nurse, "Even though I don't feel like I'm addicted to the medication, I get tremors in my hands if I miss a dose." What is the nurse's best response?

The nurse is caring for a patient who is experiencing alcohol withdrawal. Which nursing diagnosis receives priority for a patient in alcohol withdrawal?

The nurse speaks to a patient about treatment options for alcohol use disorder. The patient asks the nurse, "What's Alcoholics Anonymous all about?" Which reply by the nurse best describes Alcoholics Anonymous (AA)?

The nurse is caring for a patient who presented to the emergency department with acute hallucinogenic intoxication. What manifestations will the nurse expect to see during the assessment of this patient? Select all that apply.

The nurse is receiving report on a patient who will be transferred to the inpatient substance abuse treatment facility to be treated for heroin addiction. Prior to the patient's admission, what must occur?

A community health nurse is preparing education on opioid use in the community. Which topic will the nurse focus on as a priority in the education session?

The nurse is caring for a patient with a substance abuse disorder whose outpatient treatment plan includes a residential option. Which choice does the nurse recognize as having the most structure?

The novice psychiatric-mental health nurse begins working at an outpatient substance abuse treatment facility that specializes in SBIRT. What does the nurse learn is the core concept behind SBIRT's approach to substance abuse intervention and treatment?

The nurse is caring for a patient with substance use disorder. The patient asks if there is a difference between substance use disorder and addiction. How will the nurse explain how substance use disorder differs from addiction?

The nurse at an inpatient behavioral health center is providing care to several patients with different substance use disorders who are in various stages of the detoxification process. Which nursing interventions will take priority? Select all that apply.

The nurse is caring for a patient who has abused alcohol for many years. On assessment, the nurse notes that the patient has alterations in movement coordination. This suggests that which area of the brain is likely damaged due to the patient's long-term use of alcohol?

The nurse is caring for a patient with an alcohol use disorder. The patient asks the nurse, "Can my children inherit this?" What does the nurse explain is role of genetics on the development of a substance use disorder?

The nurse is caring for a patient who is an intravenous drug user. The nurse anticipates the need for assessment for which cardiac complication?

The nurse is assessing a patient suspected of having a substance use disorder. The nurse understands that individuals with a substance use disorder display some symptoms that are universal regardless of the substance involved. Which symptoms of substance use disorder will the nurse include in the assessment? Select all that apply.

A patient who abuses alcohol has been placed on naltrexone (Trexan). What information about the effects of this medication will the nurse include in the patient education?

Ten hours after admission to the ICU following an auto accident, a patient begins to exhibit mild tachycardia, irritability, and tremors. Three hours later the patient has a grand mal seizure. Which condition does the nurse suspect?

A teen is brought to the emergency department by a parent. The nursing assessment reveals that the patient has been acting strangely for the past three hours and is hypervigilant, grandiose, and irritable. Vital signs reveal hypertension, tachycardia, and some arrhythmias. Which substance does the nurse suspect that the teen has been using?